Active NPI
Bethany Norma Jewett, AUD
- Audiologist
- Wethersfield, CT
National Provider Identifier
1780178350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 610
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008081052 | Medicaid | CT |
Other names 1
- Bethany Norma Wittman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
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
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 100
- Quality
- 97.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Ear, Nose & Throat Associates, P.C. | Current | 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
- 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.
-
- Otolaryngology Physician
- Wethersfield, CT
- NPI 1528168705
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.