Bethany Anne Beaty, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2331 Issued in AL

Practice address

2030 Cecil Ashburn Dr SE Ste 100a
Huntsville, AL 35802-2578

Phone

(256) 489-1236

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany Anne Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1740935220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RILEY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015432",
            "telephone_number": "256-489-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 CECIL ASHBURN DR SE STE 100A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022578",
            "telephone_number": "256-489-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "BETHANY",
        "middle_name": "ANNE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AL",
            "license": "2331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "WILSON",
            "middle_name": "ANNE",
            "credential": "HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Hearing Instrument Specialist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Hearing Instrument Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.