Individual provider Active NPI

Teresa A Martin, AUD

  • Audiologist
  • Cary, NC
National Provider Identifier
1366698946
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
13670 Issued in NC
Practice address
790 SE Cary Pkwy Ste 110
Cary, NC 27511-5678
Phone
(919) 784-7400
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001479 VA
Audiologist 231H00000X HD0300079 DC
Audiologist 231H00000X 13670 NC Primary

Addresses

Primary practice location

790 SE Cary Pkwy Ste 110
Cary, NC 27511-5678

Mailing address

790 SE Cary Pkwy Ste 110
Cary, NC 27511-5678
Phone (919) 784-7400

Other practice location 1

1320 Old Chain Bridge Road
Suite 185
McLean, VA 22101-3945
Phone (703) 942-8110

Other names 1

  • Teresa A Newgent Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226001417 NC Practitioner - Qualified Audiologist 0345307435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stinson Mobile Aud NC PLLCGroup PAC ID 6608120274, 7 clinicians

Practice addresses (Care Compare)

800 Tiffany Blvd
Suite 101
Rocky Mount, NC 27804-1807
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13670NCMDPhysical Therapist
HD0300079DCMDAudiologist
2201001479VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stinson Mobile Aud NC PLLC Audiologist CurrentSince Sep 18, 2024 Accepting new patients
V. Patrick Mahat, M.D., P.C. PastSince May 23, 2008 Accepting new patients
Audiology Associates Inc. Audiologist Past Accepting new patients

Locations

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

347 Hillsborough St
Raleigh, NC 27603

800 Tiffany Blvd
Ste 101
Rocky Mount, NC 27804

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.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1366698946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 SE CARY PKWY STE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115678",
            "telephone_number": "919-784-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SE CARY PKWY STE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115678",
            "telephone_number": "919-784-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Old Chain Bridge Road",
            "address_2": "Suite 185",
            "address_purpose": "LOCATION",
            "city": "McLean",
            "state": "VA",
            "postal_code": "221013945",
            "country_code": "US",
            "telephone_number": "703-942-8110",
            "fax_number": "703-942-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001479",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DC",
            "license": "HD0300079",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "13670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "NEWGENT",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.