Liza M Buckingham, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001240 Issued in VA

Practice address

5424 Discovery Park Blvd
Suite 201
Williamsburg, VA 23188-2904

Phone

(757) 345-6330

Fax

(757) 345-6896

NPI assigned

Dec 7, 2012

Last updated

Dec 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Ms. Liza M Button Bonner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1093050692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD",
            "address_2": "SUITE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 DISCOVERY PARK BLVD",
            "address_2": "SUITE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882904",
            "telephone_number": "757-345-6330",
            "fax_number": "757-345-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "LIZA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001668",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001240",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101001668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "BUTTON BONNER",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany M Brownfiel
• Bruce Mayer, MD PC (bruce mayer md)
• Jana Brultz, LPC
• John L Brumfield, LPC
• Camilla M Buchanan, M.D.
• Emma K. Burch, MD
• Laura Lynn Burcham, PHARMACY TECHNICIAN
• Michelle Anne Burchett
• James A Burden, D.D.S.
• Anita W Burgess, LPC

• Audiologist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.