Individual provider Active NPI

Bethany Rachel Holland, AUD

  • Audiologist
  • Findlay, OH
National Provider Identifier
1356938740
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02114 Issued in OH
Practice address
1110 W Main Cross St Ste G
Findlay, OH 45840-2423
Phone
(419) 423-5492
NPI assigned
Dec 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.02114 OH Primary

Addresses

Primary practice location

1110 W Main Cross St Ste G
Findlay, OH 45840-2423

Mailing address

723 Hubbel St
Maumee, OH 43537-3523
Phone (419) 309-2778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407000243 OH Practitioner - Qualified Audiologist 0446667646 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
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians

Practice addresses (Care Compare)

1110 W Main Cross St
Findlay, OH 45840-2423
Phone (419) 423-5492

Merit-based Incentive Payment System (MIPS)

Final score
71.66 of 100Reported as group
Quality
52.4
Promoting interoperability
84
Improvement activities
40
Cost
66.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A.02114OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Blanchard Valley LLC CurrentSince Jan 5, 2021 Accepting new patients

Locations

1110 W Main Cross St
Ste G
Findlay, OH 45840
Phone (419) 423-5492

1110 W Main Cross St
Findlay, OH 45840
Phone (419) 423-5492

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

Organizations & group practices 1

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": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1356938740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 HUBBEL ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373523",
            "telephone_number": "419-309-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W MAIN CROSS ST STE G",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458402423",
            "telephone_number": "419-423-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "BETHANY",
        "middle_name": "RACHEL",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.