MS. BETHANY ADELINE GODDIESS (NPI# 1780125385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780125385 |
| Entity Type | Individual |
| Full Name | MS. BETHANY ADELINE GODDIESS |
| Credential | AU. D. CCC-A |
| Practice Address |
32 Chicago Ave Groton CT 06340-4952 |
| Mailing Address |
6700 Washington Ave S Eden Prairie MN 55344-3405 |
| Practice Telephone | 8606290781 |
| Practice Fax Number | 8606290782 |
| Mailing Telephone | 8003288602 |
| Mailing Fax Number | 9522853980 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| N | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers |
| Street Address |
32 CHICAGO AVE |
| City | GROTON |
| State | CT |
| Zip Code | 06340-4952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992673 | Jason Jack Close | Pharmacist | 32 Chicago Ave, Groton, CT 06340-4962 | 2020-08-13 |
| 1497398739 | Kaitlyn Odonnell | Pharmacist | 32 Chicago Ave, Groton, CT 06340-4952 | 2019-10-18 |
| 1942780234 | Comprehensive Occupational Medical Associates of Connecticut P C | Clinic/Center | 32 Chicago Ave, Groton, CT 06340-4952 | 2018-08-16 |
| 1497273874 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 32 Chicago Ave, Groton, CT 06340-4952 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649734476 | Best Life Hearing Center, LLC | Audiologist-Hearing Aid Fitter | 850 N Main Street Ext Ste 1c, Wallingford, CT 06492-2487 | 2019-01-25 |
| 1376948711 | April Labelle | Audiologist-Hearing Aid Fitter | 730 Hopmeadow St Ste N, Simsbury, CT 06070-2225 | 2014-10-28 |
| 1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
| 1508026519 | Sarah L.v. Olchanowski | Audiologist-Hearing Aid Fitter | 27 Hartford Tpke Ste 83, Vernon, CT 06066 | 2008-06-12 |
| 1215115266 | James Leo | Audiologist-Hearing Aid Fitter | 276 Mill Hill Ave, First Floor, Bridgeport, CT 06610-2811 | 2008-02-01 |
| 1497950323 | Professional Hearing Services, LLC | Audiologist-Hearing Aid Fitter | 27 Primrose St, North Haven, CT 06473-2934 | 2007-06-20 |
| 1396957163 | Willa C Horowitz | Audiologist-Hearing Aid Fitter | 130 Mount Sanford Road, Hamden, CT 06518-1210 | 2007-05-04 |
| 1417082074 | Thomas W Boyle | Audiologist-Hearing Aid Fitter | 9 Ward St, East Hartford, CT 06108-3040 | 2007-02-23 |
| 1952456493 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 111 Hazard Ave, Enfield, CT 06082-4590 | 2007-01-24 |
| 1447305909 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 1245 Farmington Ave Ste 201, West Hartford, CT 06107-2667 | 2007-01-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.