Victoria Ann Bugtong, AUD, CSP/A, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

101 Issued in HI

Practice address

2480 Llewellyn Ave
Fort Meade, MD 20755-7081

Phone

(301) 677-8140

Fax

(301) 677-8077

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1386629186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HULL DR",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210374131",
            "telephone_number": "301-806-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "301-677-8140",
            "fax_number": "301-677-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGTONG",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "AUD, CSP/A, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "HI",
            "license": "148",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "HI",
            "license": "101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Michelle Boucher, LCSW-C
• Patricia F Bouton, LCSW
• Hortense Redd Britt, RN
• Daniel Joseph Brockway, DMD
• Martha Bishop Brown, RN
• Gary Lamont Burks, LPN
• Anne Enanga Burnley, MD
• Yvette C Burrowes, M.D.
• Benjamin Byington, DMD
• Michael Guy Cammack, PHD

• Audiologist in Fort Meade, MD
• Providers in Fort Meade, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.