Bethurel Jett

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

1000000035459 Issued in TN

Practice address

6094 Apple Tree Dr Ste 11
Memphis, TN 38115-0306

Phone

(901) 454-3154

Fax

(901) 454-3148

NPI assigned

May 28, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Awesome Home Care

  • In Home Supportive Care Agency
  • Memphis, TN
  • NPI 1316788235
  NPD Authorized official

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1053151126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 APPLE TREE DR STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150306",
            "telephone_number": "901-454-3154",
            "fax_number": "901-454-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6094 APPLE TREE DR STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150306",
            "telephone_number": "901-454-3154",
            "fax_number": "901-454-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "BETHUREL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TN",
            "license": "1000000035459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Culver, Family Nurse Practitioner PLLC (Functional Wellness of Memphis)
• Kimberly Renee Jessop
• Rohith Jesudas, M.D.,
• Brenda Lynn Jeter, B.S.
• Priyanka Jethwani, M.D.
• Marcas Dewayne Jett, PHARM. D
• Lauren Alayna Jetton, PA-C
• Jeu Enterprises, Inc
• Jonathan Jeu, PHARMD
• Richard Jeu, DDS

• Personal Care Attendant in Memphis, TN
• Providers in Memphis, TN by specialty
• Personal Care Attendant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.