Active NPI
Bethany R. Rose, AUD
- Audiologist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2102002929
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 82.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2102002929 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Roads Otolaryngology Associates PLLC | Current | Accepting new patients | |
| Hampton Roads Otolaryngology Associates PLLC | Past | Accepting new patients | |
| Virginia Commonwealth University Health System Authority | Past | 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.
-
dba Hampton Roads EN-Allergy
- Otolaryngic Allergy Physician
- Hampton, VA
- NPI 1700939980
-
dba Hampton Roads ENT & Allergy
- Non-Pharmacy Dispensing Site
- Hampton, VA
- NPI 1053742031
-
dba VCU Health System Pharmacy
- Clinic Pharmacy
- Richmond, VA
- NPI 1659456077
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.