EMILY C PASTORE (AUD) – Audiologist, NPI 1336399195

EMILY C PASTORE (AUD) is a healthcare provider. based in Lake ridge, Virginia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. AP1909 (ME). The NPI Number for EMILY C PASTORE (AUD) is 1336399195

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
EMILY C PASTORE (AUD)
NPI
1336399195
Phone
(703) 499-8787
Address
2070 OLD BRIDGE RD STE 103
Enumeration Date
29 September 2008
Last Update Date
15 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037540951
Graduation Year
2006 (20 years ago)
PAC ID
5092865634
Group Practice PAC ID
9133645088
Professional Enrollment ID
I20200410002308
Address ID
VA201553266GA7051XWAYX402

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:17State licenses:3Other namesUpdated within 12 months

279 QUALIFIED AUDIOLOGIST in VA

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Provider Addresses for EMILY C PASTORE (AUD)

  • Old Bridge Road, Melody, Lake, Illinois, 60045, United States

    LAKE RIDGE, VA 221922495

    Phone: (703) 499-8787

    Fax: (703) 499-8222

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200410002308IQualified AudiologistVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22192)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133645088View full group profile
NameSpecialtyState
Qualified AudiologistVA
Qualified AudiologistVA
Qualified AudiologistVA

Reviews

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Frequently asked questions

What identifier follows EMILY C PASTORE (AUD) across health systems?
The NPI 1336399195 uniquely identifies EMILY C PASTORE (AUD) in U.S. healthcare data.
Should I treat EMILY C PASTORE (AUD) as an active provider?
Patients and plans typically see EMILY C PASTORE (AUD) as active in the national extract.
What services align with EMILY C PASTORE (AUD)'s listing?
EMILY C PASTORE (AUD)'s public classification highlights Audiologist. Clinical services aligned with this taxonomy classification.
Is EMILY C PASTORE (AUD) tied to Lake Ridge, Virginia?
If you are local to Lake Ridge, Virginia, EMILY C PASTORE (AUD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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