Individual provider Active NPI

Beth Puffenberger Mann

  • Audiologist
  • Cary, NC
National Provider Identifier
1386810737
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1902 Issued in NC
Practice address
601 Keisler Dr
Suite 200
Cary, NC 27518-6566
Phone
(919) 859-4744
Fax
(919) 859-9406
NPI assigned
May 6, 2008
Last updated
May 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1902 NC Primary
Audiologist-Hearing Aid Fitter 237600000X 668 NC

Addresses

Primary practice location

601 Keisler Dr
Suite 200
Cary, NC 27518-6566

Mailing address

601 Keisler Dr
Suite 200
Cary, NC 27518-6566
Phone (919) 859-4744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000025 NC Practitioner - Qualified Audiologist 3173682317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Ear Nose and Throat Clinic PAGroup PAC ID 6507946597, 8 clinicians

Practice addresses (Care Compare)

601 Keisler Dr
Suite 200
Cary, NC 27518-6567
Phone (919) 859-4744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1902NCMDAudiologist
668NCMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Ear Nose & Throat Clinic PA CurrentSince Feb 15, 2001 Accepting new patients

Locations

601 Keisler Dr
Ste 200
Cary, NC 27518
Phone (919) 859-4744

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1386810737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 KEISLER DR",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186566",
            "telephone_number": "919-859-4744",
            "fax_number": "919-859-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KEISLER DR",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186566",
            "telephone_number": "919-859-4744",
            "fax_number": "919-859-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "BETH",
        "middle_name": "PUFFENBERGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "1902",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 6, 2008; 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.