Organization Active NPI

Beth-Ann Buitekant, Inc.

  • Psychiatric/Mental Health Registered Nurse
  • Decatur, GA
National Provider Identifier
1053659953
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
R065174 Issued in GA
Legal business name
BETH-ANN BUITEKANT, INC.
Practice address
1244 Clairmont Rd
Decatur, GA 30030-1259
Phone
(404) 818-6073
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Beth-Ann Buitekant, PSY. D., RN
Title
President
Phone
(404) 818-6073

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X R065174 GA Primary

Addresses

Primary practice location

1244 Clairmont Rd
Decatur, GA 30030-1259

Mailing address

1244 Clairmont Rd
Decatur, GA 30030-1259
Phone (404) 818-6073

National Provider Directory

National Provider Directory

Locations

1244 Clairmont Rd
Decatur, GA 30030
Phone (404) 370-0386

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1053659953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301259",
            "telephone_number": "404-818-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301259",
            "telephone_number": "404-818-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH-ANN BUITEKANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "BUITEKANT",
        "authorized_official_first_name": "BETH-ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-818-6073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D., RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "R065174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.