Active NPI
Beth Ann Carroll, AU.D.
- Audiologist
- Greenville, NC
National Provider Identifier
1972024990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 12422
- Practice address
- 401 Moye Blvd
Greenville, NC 27834-2885 - Phone
- (252) 830-2149
- NPI assigned
- Jun 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 12422 | NC | |
| Audiologist | 231H00000X | 12422 | NC | Primary |
Addresses
Primary practice location
401 Moye Blvd
Greenville, NC 27834-2885
Mailing address
401 Moye Blvd
Audiology Department
Greenville, NC 27834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12422 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1972024990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MOYE BLVD",
"address_2": "AUDIOLOGY DEPARTMENT",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MOYE BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342885",
"telephone_number": "252-830-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "12422",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "12422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.