Derek Beaudoin, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A2047 Issued in TN

Practice address

2004 Hayes St Ste 600
Nashville, TN 37203-2663

Phone

(615) 340-4000

Fax

(615) 327-4449

NPI assigned

Jul 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, TN, KY3 enrollments

Enrollment records 3

Specialty

Qualified Audiologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Hearing of TennesseeGroup PAC ID 3072818517, 7 clinicians

Otolaryngology Associates of Tennessee PCGroup PAC ID 8628066404, 24 clinicians

Jeffrey Leider MD PLLCGroup PAC ID 0941469621, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.25 of 100Reported as group

Quality

98.09

Promoting interoperability

91

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobile Hearing of Tennessee

  dba Special Care Hearing

  • Audiologist
  • Nashville, TN
  • NPI 1790153583
  Medicare reassignment Care Compare group NPD
• Otolaryngology Associates of Tennessee PC

  • Otolaryngology Physician
  • Nashville, TN
  • NPI 1376671834
  Medicare reassignment Care Compare group NPD
• Jeffrey Leider MD PLLC

  dba OnHealthcare Audiology

  • Audiologist
  • Ft Wright, KY
  • NPI 1902175318
  Medicare reassignment Care Compare group NPD
• Island Audiology, LLC

  • Audiologist
  • Honolulu, HI
  • NPI 1811948045
  Medicare reassignment NPD
• Jeffrey Leider MD PLLC

  dba OnHealthcare

  • Geriatric Medicine (Family Medicine) Physician
  • Ft Wright, KY
  • NPI 1063788818
  NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1114570694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331049",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372037508",
            "telephone_number": "615-340-4000",
            "fax_number": "615-327-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032663",
            "telephone_number": "615-340-4000",
            "fax_number": "615-327-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDOIN",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "HI",
            "license": "197",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A2047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Beatty, N.P.
• Jaeden Beaty, MD
• Jordan Robert Beaty, MSN, CPNP-AC
• William S Beaty, MD
• Gregory Beauchamp, D.C.
• Phillip L. Beaulieu Jr., M.D.
• Lane Douglass Beaumont, NNP
• Shari Lee Beauregard, MSN,RN,ANP-BC,ACHPN
• Beautiful Beginnings Counseling Services, PLLC
• David Lynn Beavers, MD, PH.D

• Audiologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.