Active NPI
Yvonne M Bennett
- Audiologist
- Bethesda, MD
National Provider Identifier
1659879666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0911
- Practice address
- 4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412 - Phone
- (202) 302-6573
- NPI assigned
- Jan 24, 2018
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241219000665 | DC | Practitioner - Qualified Audiologist | 4880030824 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0911 | MD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCC Audiology LLC | Audiologist | Current | Accepting new patients |
Locations
4300 Montgomery Ave
Ste 104
Bethesda, MD 20814
Phone (202) 302-6573
7625 Wisconsin Ave
Bethesda, MD 20814
Phone (202) 302-6573
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0911 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412
Mailing address
4512 North Chelsea Lane
Bethesda, MD 20814
Phone (202) 302-6573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2024.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1659879666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 NORTH CHELSEA LANE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "202-302-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MONTGOMERY AVE STE 104",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144412",
"telephone_number": "202-302-6573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "YVONNE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2024-09-30",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "0911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.