Active NPI
Betty Lynn McNamara, AU
- Audiologist
- Woodland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1509
- Practice address
- 1207 Fairchild CT
Woodland, CA 95695-4321 - Phone
- (530) 662-3961
- NPI assigned
- Dec 8, 2006
- 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 | AU1509 | CA | Primary |
Addresses
Primary practice location
1207 Fairchild CT
Woodland, CA 95695-4321
Mailing address
1207 Fairchild CT
Woodland, CA 95695-4321
Phone (530) 662-3961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0015090 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071023000847 | CA | Practitioner - Qualified Audiologist | 9032205901 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2440 W Covell Blvd
Suite 100
Davis, CA 95616-5671
Phone (530) 668-2600
632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1509 | CA | MD | Community Health/Public Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHW Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Locations
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631
1207 Fairchild Ct
Woodland, CA 95695
Phone (530) 406-2900
1321 Cottonwood St
Ste 205
Woodland, CA 95695
Phone (530) 668-2600
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Woodland, CA
- NPI 1881994085
-
- Multi-Specialty Clinic/Center
- Woodland, CA
- NPI 1144497678
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Home Health Agency
- Woodland, CA
- NPI 1851494231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1801955216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 FAIRCHILD CT",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956954321",
"telephone_number": "530-662-3961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 FAIRCHILD CT",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956954321",
"telephone_number": "530-662-3961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "BETTY",
"middle_name": "LYNN",
"credential": "AU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0015090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.