Individual provider Active NPI

Beth Lynn Connors, AUD

  • Audiologist
  • Springfield, VA
National Provider Identifier
1265509525
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000571 Issued in VA
Practice address
5504 Backlick Rd
Springfield, VA 22151-3906
Phone
(703) 941-9552
Fax
(703) 642-1422
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.0001107 CO
Audiologist 231H00000X 2201000571 VA Primary

Addresses

Primary practice location

5504 Backlick Rd
Springfield, VA 22151-3906

Mailing address

799 E 3Rd St
Ste 1
Durango, CO 81301-5793
Phone (970) 375-2369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104001289 CO Practitioner - Qualified Audiologist 2264591627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Colorado Ear Nose and ThroatGroup PAC ID 7719980580, 7 clinicians

Practice addresses (Care Compare)

1 Mercado St
Suite 205
Durango, CO 81301-7310
Phone (970) 385-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Animas Valley Audiology Associates LLC Audiologist CurrentSince Jan 1, 2022 Accepting new patients
Southwestern Colorado Ear Nose and Throat CurrentSince May 1, 2025 Accepting new patients
Animas Valley Audiology Associates LLC Audiologist CurrentSince Jan 1, 2022 Accepting new patients
Mountain Peace LLC PastSince May 1, 2025 Accepting new patients
Ear,Nose & Throat Medical Group of Washington P.C. Past Accepting new patients

Locations

799 E 3rd St
Ste 1
Durango, CO 81301
Phone (970) 375-2369

1 Mercado St
Ste 205
Durango, CO 81301
Phone (970) 385-7272

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFBEAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1265509525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 E 3RD ST",
            "address_2": "STE 1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015793",
            "telephone_number": "970-375-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513906",
            "telephone_number": "703-941-9552",
            "fax_number": "703-642-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "BETH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001107",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.