Individual provider Active NPI

Akeria Cherez Betsey, LPN

  • Licensed Practical Nurse
  • Quincy, FL
National Provider Identifier
1033713292
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5228090 Issued in FL
Practice address
3034 Providence Rd
Quincy, FL 32351-6003
Phone
(850) 728-2677
NPI assigned
Nov 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5228090 FL Primary

Addresses

Primary practice location

3034 Providence Rd
Quincy, FL 32351-6003

Mailing address

3034 Providence Rd
Quincy, FL 32351-6003
Phone (850) 728-2677

Other identifiers 1

IdentifierTypeStateIssuer
238OtherFLAGENCY FOR HEALTH CARE ADMINISTRATION

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

LicenseStateTypeSpecialty
PN5228090FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gracious Home Health Services, LLC CurrentSince Nov 29, 2020 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1033713292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 PROVIDENCE RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323516003",
            "telephone_number": "850-728-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 PROVIDENCE RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323516003",
            "telephone_number": "850-728-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETSEY",
        "first_name": "AKERIA",
        "middle_name": "CHEREZ",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5228090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "238",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.