Lauren Bull, AU.D.
Individual provider Active NPI Audiologist · Newport News, VA
NPI 1740969138 · NPPES record last updated Jul 13, 2023
Key facts
- NPI
- 1740969138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 2201001925 (VA)
- Practice address
- 860 Omni Blvd Ste 401
Newport News, VA 23606-4430 - Phone
- (757) 232-8781
- NPI assigned
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Amp Audiology LLC
Practice addresses (Care Compare)
1401 10TH St
Suite B
Alamogordo, NM 88310-5012
Phone (575) 437-4327
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230824003435 | VA | Practitioner - Qualified Audiologist | 1456714351 | Reassigns benefits to 1 organization |
| I20241206002843 | NM | Practitioner - Qualified Audiologist | 1456714351 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Current |
Accepting new patients | |
| Tidewater Physicians Multispecialty Group PC | Current |
Accepting new patients | |
| Amp Audiology LLC | Audiologist | 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
827 Diligence Dr
Ste 100
Newport News, VA 23606
860 Omni Blvd
Ste 128
Newport News, VA 23606
802 Lockwood Ave
Ste A
Newport News, VA 23602
Phone (757) 706-3481
704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300
860 Omni Blvd
Ste 401
Newport News, VA 23606
Phone (757) 232-8764
729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001925 | VA | Yes |
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
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.