Active NPI
Lauren Bull, AU.D.
- Audiologist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001925
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001925 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amp Audiology LLC | Audiologist | Current | Accepting new patients |
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients | |
| Tidewater Physicians Multispecialty Group PC | Current | 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
- 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.
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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.