Active NPI
Betty Dean Gosnell
- Attendant Care Provider
- Brevard, NC
National Provider Identifier
1013170943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- FCL-088-004
- Practice address
- 25 Little Bend LN
Brevard, NC 28712-9350 - Phone
- (828) 883-8581
- Fax
- (828) 883-8581
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | FCL-088-004 | NC | Primary |
Addresses
Primary practice location
25 Little Bend LN
Brevard, NC 28712-9350
Mailing address
25 Little Bend LN
Brevard, NC 28712-9350
Phone (828) 883-8581
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 |
|---|---|---|---|
| FCL-088-004 | NC | MD | Attendant Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America'S Living Centers LLC | Past | Accepting new patients |
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.
-
- Custodial Care Facility
- Brevard, NC
- NPI 1760518278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1013170943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LITTLE BEND LN",
"city": "BREVARD",
"state": "NC",
"postal_code": "287129350",
"telephone_number": "828-883-8581",
"fax_number": "828-883-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LITTLE BEND LN",
"city": "BREVARD",
"state": "NC",
"postal_code": "287129350",
"telephone_number": "828-883-8581",
"fax_number": "828-883-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSNELL",
"first_name": "BETTY",
"middle_name": "DEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NC",
"license": "FCL-088-004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.