Active NPI
Bethany Anne Phillips-Smith, DO
- Student in an Organized Health Care Education/Training Program
- Las Cruces, NM
National Provider Identifier
1023758307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4351 E Lohman Ave
Las Cruces, NM 88011-8259 - Phone
- (575) 556-7600
- Fax
- (575) 556-5109
- NPI assigned
- Apr 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4351 E Lohman Ave
Las Cruces, NM 88011-8259
Mailing address
4351 E Lohman Ave
Las Cruces, NM 88011-8259
Phone (575) 556-7600
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
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- bethany.phillips-smith.2@1928.direct.athenahealth.com
- bethany.phillips-smith.1@1928.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748044800000",
"number": "1023758307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118259",
"telephone_number": "575-556-7600",
"fax_number": "575-556-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118259",
"telephone_number": "575-556-7600",
"fax_number": "575-556-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS-SMITH",
"first_name": "BETHANY",
"middle_name": "ANNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2025-05-24",
"certification_date": "2025-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.