Individual provider Active NPI

Bethany M Weaver, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Willow Street, PA
National Provider Identifier
1396397873
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AT006638 Issued in PA
Practice address
226 Willow Valley Lakes Drive
Suite D
Willow Street, PA 17584
Phone
(717) 464-2144
Fax
(717) 464-4255
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AT006638 PA Primary

Addresses

Primary practice location

226 Willow Valley Lakes Drive
Suite D
Willow Street, PA 17584

Mailing address

2160 Noll Drive
Lancaster, PA 17603
Phone (717) 392-4327

Other practice location 1

2160 Noll Drive
Lancaster, PA 17603
Phone (717) 392-4327

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bnoll@aeaudiology.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903000783 PA Practitioner - Qualified Audiologist 0244569184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and E Audiology, Inc.Group PAC ID 4486752870, 7 clinicians

Practice addresses (Care Compare)

226 Willow Valley Lakes Dr
Suite D
Willow Street, PA 17584-9665
Phone (717) 464-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A & E Audiology, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Hearing Smile Professionals LLC CurrentSince Feb 26, 2025 Accepting new patients

Locations

2160 Noll Dr
Ste 100
Lancaster, PA 17603
Phone (717) 392-4327

235 Bloomfield Dr
Ste 108
Lititz, PA 17543
Phone (717) 336-8198

3 Cardinal Dr
Stevens, PA 17578
Phone (717) 336-1224

226 Willow Valley Lakes Dr
Ste D
Willow Street, PA 17584
Phone (717) 464-2144

Organizations & group practices 2

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1396397873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 NOLL DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-392-4327",
            "fax_number": "717-435-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 WILLOW VALLEY LAKES DRIVE",
            "address_2": "SUITE D",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "17584",
            "telephone_number": "717-464-2144",
            "fax_number": "717-464-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 Noll Drive",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "17603",
            "country_code": "US",
            "telephone_number": "717-392-4327",
            "fax_number": "717-435-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BETHANY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT006638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bnoll@aeaudiology.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "226 Willow Valley Lakes Drive",
            "address_2": "Suite D",
            "city": "Willow Street",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.