Individual provider Active NPI

Victoria Brattain, NBC-HIS, COHC

  • Hearing Instrument Specialist
  • Rocky Mount, NC
National Provider Identifier
1740609262
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
943 Issued in NC
Practice address
1356 Benvenue Rd.
Benvenue Plaza
Rocky Mount, NC 27804
Phone
(252) 442-3335
NPI assigned
Apr 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 943 NC Primary

Addresses

Primary practice location

1356 Benvenue Rd.
Benvenue Plaza
Rocky Mount, NC 27804

Mailing address

1356 Benvenue Rd.
Benvenue Plaza
Rocky Mount, NC 27804
Phone (252) 442-3335

Other names 1

  • Victoria Bottoms Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
943NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Down East Hearing Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1740609262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 BENVENUE RD.",
            "address_2": "BENVENUE PLAZA",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-442-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 BENVENUE RD.",
            "address_2": "BENVENUE PLAZA",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-442-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTAIN",
        "first_name": "VICTORIA",
        "credential": "NBC-HIS, COHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "BOTTOMS",
            "credential": "NBC-HIS, COHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.