Individual provider Active NPI

Becky Lynn Guy, MA

  • Audiologist
  • Waldorf, MD
National Provider Identifier
1780645085
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00710 Issued in MD
Practice address
3475 Leonardtown Rd Ste 102
Waldorf, MD 20601-3678
Phone
(301) 374-8477
Fax
(301) 374-8432
NPI assigned
Mar 28, 2006
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00710 MD Primary

Addresses

Primary practice location

3475 Leonardtown Rd Ste 102
Waldorf, MD 20601-3678

Mailing address

12108 Old Line Ctr
Waldorf, MD 20602-2553
Phone (301) 638-3440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000814 MD Practitioner - Qualified Audiologist 3779519368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Hearing Center LLCGroup PAC ID 5092039321, 3 clinicians

Practice addresses (Care Compare)

135 W Dares Beach Rd
Prince Frederick, MD 20678-3119
Phone 4432957100101

135 W Dares Beach Rd
Suite 102
Prince Frederick, MD 20678-3127
Phone (443) 295-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
710MDMDClinical Psychologist
00710MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Hearing Center LLC Audiologist CurrentSince Nov 19, 2018 Accepting new patients
A&a Hearing Group, LLC Audiologist Past Accepting new patients
A&a Hearing Group, LLC Audiologist PastSince Feb 2, 2009 Accepting new patients
Hearing Professionals of Waldorf, Inc Audiologist Past Accepting new patients

Locations

135 W Dares Beach Rd
Prnc Frederck, MD 20678
Phone (410) 610-2246

135 W Dares Beach Rd
Ste 102
Prnc Frederck, MD 20678
Phone (443) 295-7100

14090 Hg Trueman Rd
Ste 1400
Solomons, MD 20688
Phone (443) 295-7100

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1780645085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 OLD LINE CTR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022553",
            "telephone_number": "301-638-3440",
            "fax_number": "301-638-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 LEONARDTOWN RD STE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013678",
            "telephone_number": "301-374-8477",
            "fax_number": "301-374-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "BECKY",
        "middle_name": "LYNN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.