Individual provider Active NPI

Theresa Hutchinson Bartlett, AU.D.

  • Audiologist
  • Virginia Beach, VA
National Provider Identifier
1528038924
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000546 Issued in VA
Practice address
4540 Princess Anne Rd
Suite 123
Virginia Beach, VA 23462-7962
Phone
(757) 461-4327
Fax
(757) 226-8022
NPI assigned
Jan 26, 2006
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201000546 VA Primary

Addresses

Primary practice location

4540 Princess Anne Rd
Suite 123
Virginia Beach, VA 23462-7962

Mailing address

4540 Princess Anne Rd
Suite 123
Virginia Beach, VA 23462-7962
Phone (757) 461-4327

Other identifiers 1

IdentifierTypeStateIssuer
010197295MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907001185 VA Practitioner - Qualified Audiologist 1557393840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4540 Princess Anne Rd
Suite 123
Virginia Beach, VA 23462-7964
Phone (757) 461-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hearing Consultants CurrentSince Mar 11, 2008 Accepting new patients

Locations

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

4540 Princess Anne Rd
Ste 123
Virginia Beach, VA 23462
Phone (757) 461-4327

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1528038924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 PRINCESS ANNE RD",
            "address_2": "SUITE 123",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627962",
            "telephone_number": "757-461-4327",
            "fax_number": "757-226-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 PRINCESS ANNE RD",
            "address_2": "SUITE 123",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627962",
            "telephone_number": "757-461-4327",
            "fax_number": "757-226-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "THERESA",
        "middle_name": "HUTCHINSON",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010197295",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.