Active NPI
Luann Bookheimer Hendershot, AUD
- Audiologist
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-0082
- Practice address
- 527 Medical Park Dr Ste 401
Bridgeport, WV 26330-9010 - Phone
- (681) 342-3570
- Fax
- (681) 342-3575
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | A-0082 | WV | Primary |
Addresses
Primary practice location
527 Medical Park Dr Ste 401
Bridgeport, WV 26330-9010
Mailing address
527 Medical Park Dr Ste 401
Bridgeport, WV 26330-9010
Phone (681) 342-3570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160809000 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lhendershot109274@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171013001494 | WV | Practitioner - Qualified Audiologist | 2668747890 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center, Inc. | Current | Accepting new patients | |
| St Josephs Hospital of Buckhannon Inc | Current | Accepting new patients | |
| United Hospital Center, Inc. | Current | Accepting new patients | |
| St Josephs Hospital of Buckhannon | Past | Accepting new patients |
Locations
527 Medical Park Dr
Ste 401
Bridgeport, WV 26330
Phone (304) 624-2121
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034
10 Amalia Dr
Ste C5
Buckhannon, WV 26201
Phone (304) 460-7040
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000
2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301
Interoperability endpoints
- lhendershot109274@direct.wvuhsdirect.com
Organizations & group practices 4
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.
-
- Nephrology Physician
- Bridgeport, WV
- NPI 1386154201
-
- Internal Medicine Physician
- Buckhannon, WV
- NPI 1841314473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356512404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 401",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309010",
"telephone_number": "681-342-3570",
"fax_number": "681-342-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 401",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309010",
"telephone_number": "681-342-3570",
"fax_number": "681-342-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSHOT",
"first_name": "LUANN",
"middle_name": "BOOKHEIMER",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2022-07-21",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WV",
"license": "A-0082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0160809000",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lhendershot109274@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "527 Medical Park Dr",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263309008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.