DR. BROOKE DILLARD (NPI# 1205445186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205445186 |
| Entity Type | Individual |
| Full Name | DR. BROOKE DILLARD |
| Practice Address |
3801 University Dr Fl 3 Fairfax VA 22030-2503 |
| Practice Telephone | 7033838130 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2201001790 | VA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912487489 | Brooke Elaine Dillard | Nurse Practitioner | 916 E Cherokee Ave, Sallisaw, OK 74955-5032 | 2018-08-15 |
| Street Address |
3801 UNIVERSITY DR FL 3 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455332 | Kelsey Ann Oppler | Audiologist | 3801 University Dr Fl 3, Fairfax, VA 22030-2503 | 2020-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455332 | Kelsey Ann Oppler | Audiologist | 3801 University Dr Fl 3, Fairfax, VA 22030-2503 | 2020-07-27 |
| 1548764350 | Margaret Ann Henry | Audiologist | 8270 Willow Oaks Corporate Dr Ste 2125, Fairfax, VA 22031-4511 | 2018-03-19 |
| 1760624191 | Vivian Lee Muccio | Audiologist | 3930 Pender Dr Ste 140, Fairfax, VA 22030-0986 | 2009-03-31 |
| 1760096366 | Jessica Kreidler | Audiologist | 8301 Arlington Blvd Ste 302, Fairfax, VA 22031-2902 | 2020-09-02 |
| 1740845577 | David Anthony Jara | Audiologist | 8301 Arlington Blvd Ste 302, Fairfax, VA 22031-2902 | 2019-05-07 |
| 1710484753 | Stephanie Kay Thomas | Audiologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-04-06 |
| 1881195915 | Maria Soledad Deer | Audiologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-02-23 |
| 1538672266 | Chelsea Howard | Audiologist | 3801 University Dr, Fairfax, VA 22030 | 2017-11-16 |
| 1750767497 | Kaitlyn Dawes | Audiologist | 3801 University Dr, Suite 300, Fairfax, VA 22030-2503 | 2015-08-05 |
| 1902281157 | Amelia Shuster | Audiologist | 3801 University Dr, Suite 200, Fairfax, VA 22030-2503 | 2015-07-29 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.