Provider Demographics
NPI:1679003701
Name:HOOD, KRISTEN RUBY (AUD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:RUBY
Last Name:HOOD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44031 ASHBURN SHOPPING PLZ STE 273
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7919
Mailing Address - Country:US
Mailing Address - Phone:703-291-8400
Mailing Address - Fax:703-291-8404
Practice Address - Street 1:44031 ASHBURN SHOPPING PLZ STE 273
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7919
Practice Address - Country:US
Practice Address - Phone:703-291-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01518237600000X
WV0037237600000X
VA2101002323237600000X
VA2201001664231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
1841619129OtherANTHEM VA
1841619129OtherAETNA
1841619129OtherBCBS
1841619129OtherUNITED HEALTH CARE