Individual provider Active NPI

Beth Ellen Johnson, AU.D.

  • Audiologist
  • Brighton, MI
National Provider Identifier
1437040268
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001217 Issued in MI
Practice address
2305 Genoa Business Park Dr Ste 160
Brighton, MI 48114-7005
Phone
(800) 851-6672
NPI assigned
Jul 10, 2025
Last updated
Jul 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601001217 MI Primary

Addresses

Primary practice location

2305 Genoa Business Park Dr Ste 160
Brighton, MI 48114-7005

Mailing address

2305 Genoa Business Park Dr Ste 160
Brighton, MI 48114-7005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250809000480 MI Practitioner - Qualified Audiologist 6709384654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Otolaryngology SurgeryGroup PAC ID 1759442627, 20 clinicians

Practice addresses (Care Compare)

5333 McAuley Dr
RM 2017
Ypsilanti, MI 48197-1096
Phone (734) 434-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601001217MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Otolaryngology Surgery CurrentSince Jul 21, 2025 Accepting new patients
Michigan Otolaryngolgy Surgery CurrentSince Jul 21, 2025 Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 160
Brighton, MI 48114
Phone (734) 434-3200

5333 McAuley Dr
Rm 2017
Ypsilanti, MI 48197
Phone (734) 434-3200

Interoperability endpoints

  • Direct secure messaging: beth.ellen.johnson.1@15595.direct.athenahealth.com

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, 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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1437040268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DR STE 160",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DR STE 160",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147005",
            "telephone_number": "800-851-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BETH ELLEN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601001217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.