Basic Information
| Provider Information | |||||||||
| NPI: | 1275507394 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAUNDERS | ||||||||
| FirstName: | DARLENE | ||||||||
| MiddleName: | G. | ||||||||
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| Credential: | M.S., CCC-A, FAAA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2149 ELECTRIC RD | ||||||||
| Address2: | SUITE 8 | ||||||||
| City: | ROANOKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240181975 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5407745060 | ||||||||
| FaxNumber: | 5407748008 | ||||||||
| Practice Location | |||||||||
| Address1: | 2149 ELECTRIC RD | ||||||||
| Address2: | SUITE 8 | ||||||||
| City: | ROANOKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240181974 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5407745060 | ||||||||
| FaxNumber: | 5407748008 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2006 | ||||||||
| LastUpdateDate: | 04/03/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | 2201001085 | VA | Y | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
ID Information
| ID | Type | State | Issuer | Description | 010205000 | 05 | VA | MEDICAID | 7304339 | 01 | VA | AETNA | OTHER | 202106571 | 01 | VA | UNITED HEALTHCARE | OTHER | P00395269 | 01 | VA | RR MEDICARE | OTHER | 181995 | 01 | VA | ANTHEM | OTHER | 2722329 | 01 | VA | CIGNA | OTHER | 3105486 | 01 | VA | MAMSI | OTHER |