Individual provider Active NPI

Victoria Danielle Beene, AUD

  • Audiologist
  • Santa Rosa, CA
National Provider Identifier
1922623875
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
111 Santa Rosa Ave Ste 115
Santa Rosa, CA 95404-4944
Phone
(707) 234-7345
Fax
(707) 829-0306
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X CA Primary

Addresses

Primary practice location

111 Santa Rosa Ave Ste 115
Santa Rosa, CA 95404-4944

Mailing address

111 Santa Rosa Ave Ste 115
Santa Rosa, CA 95404-4944
Phone (650) 234-7345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821001744 CA Practitioner - Qualified Audiologist 7618393547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Santa Rosa Ave
Suite 115
Santa Rosa, CA 95404-4944
Phone (707) 234-7345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hearing Specialists, Inc. Audiologist CurrentSince Dec 18, 2024 Accepting new patients

Locations

111 Santa Rosa Ave
Ste 115
Santa Rosa, CA 95404
Phone (707) 234-7345

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1922623875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SANTA ROSA AVE STE 115",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044944",
            "telephone_number": "650-234-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SANTA ROSA AVE STE 115",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044944",
            "telephone_number": "707-234-7345",
            "fax_number": "707-829-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEENE",
        "first_name": "VICTORIA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.