Provider Demographics
NPI:1225035520
Name:READ, CAROLE STEPHENS (MED)
Entity type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:STEPHENS
Last Name:READ
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:V. CAROLE
Other - Middle Name:S
Other - Last Name:READ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED
Mailing Address - Street 1:2321 ATHERHOLT RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2113
Mailing Address - Country:US
Mailing Address - Phone:434-485-7382
Mailing Address - Fax:434-947-3992
Practice Address - Street 1:2321 ATHERHOLT RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2113
Practice Address - Country:US
Practice Address - Phone:434-947-3993
Practice Address - Fax:434-947-3992
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000170231H00000X
VA2101000316237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA086626OtherANTHEM
VA009450491Medicaid
VA165675OtherSOUTHERN HEALTH
VA009109340Medicaid
VA541250449OtherFEDERAL TAX ID
VA541250449OtherFEDERAL TAX ID
VA009450491Medicaid