Individual provider Active NPI

Bethany Norma Jewett, AUD

  • Audiologist
  • Wethersfield, CT
National Provider Identifier
1780178350
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
610 Issued in CT
Practice address
988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Phone
(860) 493-1950
Fax
(860) 493-1961
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 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 610 CT Primary

Addresses

Primary practice location

988 Silas Deane Hwy
Wethersfield, CT 06109-4227

Mailing address

988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Phone (860) 493-1950

Other identifiers 1

IdentifierTypeStateIssuer
008081052MedicaidCT

Other names 1

  • Bethany Norma Wittman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820001227 CT Practitioner - Qualified Audiologist 1759630007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Ear, Nose and Throat Associates, P.C.Group PAC ID 3870533730, 20 clinicians

Practice addresses (Care Compare)

988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Phone (860) 493-1950

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
97.67
Promoting interoperability
100
Improvement activities
40
Cost
81.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
610CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Ear, Nose & Throat Associates, P.C. CurrentSince Jun 5, 2018 Accepting new patients

Locations

85 Seymour St
Ste 318
Hartford, CT 06106
Phone (860) 493-1950

988 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 493-1950

Interoperability endpoints

  • Direct secure messaging: bjewett547673@xdr.hhchealthdirect.org

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1780178350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094227",
            "telephone_number": "860-493-1950",
            "fax_number": "860-493-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094227",
            "telephone_number": "860-493-1950",
            "fax_number": "860-493-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "BETHANY",
        "middle_name": "NORMA",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008081052",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "WITTMAN",
            "middle_name": "NORMA",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.