Individual provider Active NPI

Lauren Bull, AU.D.

  • Audiologist
  • Newport News, VA
National Provider Identifier
1740969138
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001925 Issued in VA
Practice address
860 Omni Blvd Ste 401
Newport News, VA 23606-4430
Phone
(757) 232-8781
NPI assigned
Jul 13, 2023
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001925 VA Primary

Addresses

Primary practice location

860 Omni Blvd Ste 401
Newport News, VA 23606-4430

Mailing address

21417 Lankford LN
Smithfield, VA 23430-6240
Phone (757) 355-0836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230824003435 VA Practitioner - Qualified Audiologist 1456714351 Reassigns benefits to 1 organization
I20241206002843 NM Practitioner - Qualified Audiologist 1456714351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Amp Audiology LLCGroup PAC ID 7517231855, 7 clinicians

Practice addresses (Care Compare)

1401 10TH St
Suite B
Alamogordo, NM 88310-5012
Phone (575) 437-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201001925VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amp Audiology LLC Audiologist CurrentSince Dec 3, 2024 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 10, 2023 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 10, 2023 Accepting new patients
Advanced Hearing Care, LLC Audiologist Past Accepting new patients

Locations

1401 10th St
Ste B
Alamogordo, NM 88310
Phone (575) 437-4327

2825 Sudderth Dr
Ste H
Ruidoso, NM 88345
Phone (575) 257-0454

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

802 Lockwood Ave
Ste A
Newport News, VA 23602
Phone (757) 706-3481

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 128
Newport News, VA 23606

860 Omni Blvd
Ste 401
Newport News, VA 23606
Phone (757) 232-8764

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 4

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1740969138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21417 LANKFORD LN",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306240",
            "telephone_number": "757-355-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 401",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.