Individual provider Active NPI

Bridget Betty Garrido, AUD

  • Audiologist
  • Lake Charles, LA
National Provider Identifier
1649436197
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3317 Issued in LA
Practice address
555 Doctor Michael Debakey Dr Ste 104
Lake Charles, LA 70601-5700
Phone
(337) 436-3277
Fax
(337) 439-3051
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3317 LA Primary

Addresses

Primary practice location

555 Doctor Michael Debakey Dr Ste 104
Lake Charles, LA 70601-5700

Mailing address

555 Dr Michael Debakey Dr
Ste 104
Lake Charles, LA 70601-5700
Phone (337) 436-3277

Other identifiers 1

IdentifierTypeStateIssuer
2432346MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000161 LA Practitioner - Qualified Audiologist 8426174954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Sorrells Audiology LLCGroup PAC ID 2264720077, 3 clinicians

Practice addresses (Care Compare)

555 Dr Michael Debakey Dr
Suite 104
Lake Charles, LA 70601-5700
Phone (337) 436-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sorrells Audiology LLC CurrentSince Oct 21, 2016 Accepting new patients
Lake Charles Hearing AIDS LLC CurrentSince Mar 9, 2020 Accepting new patients

Locations

555 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 436-3277

2626 Country Club Rd
Lake Charles, LA 70605
Phone (337) 240-6600

555 Dr Michael Debakey Dr
Ste 104
Lake Charles, LA 70601
Phone (318) 436-3277

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1649436197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 DR MICHAEL DEBAKEY DR",
            "address_2": "STE 104",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015700",
            "telephone_number": "337-436-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DOCTOR MICHAEL DEBAKEY DR STE 104",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015700",
            "telephone_number": "337-436-3277",
            "fax_number": "337-439-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "BRIDGET",
        "middle_name": "BETTY",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2432346",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.