Active NPI
Bethany Corinne Davis, AUD, CCC-A
- Audiologist
- Washington, DC
National Provider Identifier
1972127900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 2300 M St NW
Washington, DC 20037-1434 - Phone
- (202) 741-3275
- NPI assigned
- Jun 5, 2020
- Sex
- Female
- Sole proprietor
- No
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.
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Washington University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Faculty Associates, Inc
Practice addresses (Care Compare)
2300 M St NW
Washington, DC 20037-1434
Phone (202) 677-6990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427000095 | DC | Practitioner - Qualified Audiologist | 4183048960 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Current | Accepting new patients |
Locations
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
2300 M St NW
Washington, DC 20037
Phone (202) 741-2222
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2300 M St NW
Washington, DC 20037-1434
Mailing address
4400 Manchester Ave Apt 507
Saint Louis, MO 63110-2151
Other practice location 1
1010 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone (314) 729-0077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2021.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1972127900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 MANCHESTER AVE APT 507",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 M ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371434",
"telephone_number": "202-741-3275"
}
],
"practiceLocations": [
{
"address_1": "1010 Old Des Peres Rd",
"address_purpose": "LOCATION",
"city": "Des Peres",
"state": "MO",
"postal_code": "631311865",
"country_code": "US",
"telephone_number": "314-729-0077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "BETHANY",
"middle_name": "CORINNE",
"credential": "AUD, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-05",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.