Active NPI
Bethany Tucker, AU.D.
- Audiologist
- Williamsburg, VA
National Provider Identifier
1154748887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1823
- Practice address
- 430 McLaws Cir
Suite 101
Williamsburg, VA 23185-5655 - Phone
- (757) 229-4004
- Fax
- (757) 229-9992
- NPI assigned
- Mar 19, 2014
- 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 | AY1823 | FL | Primary |
Addresses
Primary practice location
430 McLaws Cir
Suite 101
Williamsburg, VA 23185-5655
Mailing address
430 McLaws Cir
Suite 101
Williamsburg, VA 23185-5655
Phone (757) 229-4004
Other names 1
- Bethany Magee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1823 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vertigo Dizzy Clinic LLC | Audiologist | Current | Accepting new patients |
| Colonial Center for Hearing Inc | Audiologist | Current | Accepting new patients |
| Hampton Roads Otolaryngology Associates PLLC | Past | Accepting new patients |
Locations
430 McLaws Cir
Ste 101
Williamsburg, VA 23185
Phone (757) 229-4004
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 and National Provider Directory roles.
-
- Audiologist
- Williamsburg, VA
- NPI 1114105616
-
- Audiologist
- Williamsburg, VA
- NPI 1003094525
-
- Non-Pharmacy Dispensing Site
- Hampton, VA
- NPI 1053742031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1154748887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 MCLAWS CIR",
"address_2": "SUITE 101",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855655",
"telephone_number": "757-229-4004",
"fax_number": "757-229-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MCLAWS CIR",
"address_2": "SUITE 101",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855655",
"telephone_number": "757-229-4004",
"fax_number": "757-229-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "BETHANY",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "MAGEE",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.