Individual provider Active NPI

Bethany R. Rose, AUD

  • Audiologist
  • Richmond, VA
National Provider Identifier
1144672767
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2102002929 Issued in VA
Practice address
9109 Stony Point Dr
Richmond, VA 23235-1979
Phone
(804) 828-0431
Fax
(804) 628-0950
NPI assigned
Jul 7, 2016
Last updated
Dec 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2102002929 VA Primary

Addresses

Primary practice location

9109 Stony Point Dr
Richmond, VA 23235-1979

Mailing address

7601 Forest Ave
Ste 331
Richmond, VA 23229-4933
Phone (804) 739-0031

Other practice location 1

1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 828-0431

Other practice location 2

403 N 11th St
Richmond, VA 23298-5046
Phone (804) 828-0431

Other practice location 3

1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-0431

Other practice location 4

2035 Waterside Rd Ste 100
Prince George, VA 23875-1265
Phone (804) 828-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119002357 VA Practitioner - Qualified Audiologist 6002175098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Roads Otolaryngology Associates PLLCGroup PAC ID 7012820848, 21 clinicians

Practice addresses (Care Compare)

5408 Discovery Park Blvd
Suite 300
Williamsburg, VA 23188-2893
Phone (757) 825-2500

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
82.83
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2102002929VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Otolaryngology Associates PLLC CurrentSince Sep 8, 2020 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC Past Accepting new patients
Virginia Commonwealth University Health System Authority PastSince Oct 28, 2017 Accepting new patients

Locations

5659 Parkway Dr
Ste 130
Gloucester, VA 23061
Phone (757) 873-0338

5659 Parkway Dr
Ste 240
Gloucester, VA 23061
Phone (757) 825-2500

901 Enterprise Pkwy
Ste 300
Hampton, VA 23666
Phone (757) 825-2500

5408 Discovery Park Blvd
Ste 300
Williamsburg, VA 23188
Phone (757) 253-8722

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1144672767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 FOREST AVE",
            "address_2": "STE 331",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294933",
            "telephone_number": "804-739-0031",
            "fax_number": "804-594-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-828-0431",
            "fax_number": "804-628-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-0431",
            "fax_number": "804-628-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985046",
            "country_code": "US",
            "telephone_number": "804-828-0431",
            "fax_number": "804-628-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191930",
            "country_code": "US",
            "telephone_number": "804-828-0431",
            "fax_number": "804-628-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 Waterside Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751265",
            "country_code": "US",
            "telephone_number": "804-828-0431",
            "fax_number": "804-628-0950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BETHANY",
        "middle_name": "R.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2102002929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.