Individual provider Active NPI

Bethany Cox, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Malvern, AR
National Provider Identifier
1063600997
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A005314 Issued in AR
Practice address
829 Halbert St
Malvern, AR 72104-2607
Phone
(501) 332-4400
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A005314 AR Primary

Addresses

Primary practice location

829 Halbert St
Malvern, AR 72104-2607

Mailing address

829 Halbert St
Malvern, AR 72104-2607
Phone (501) 332-4400

Other practice location 1

125 Wellness Way
Hot Springs, AR 71913-6478
Phone (501) 624-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015002282 AR Practitioner - Nurse Practitioner 1052682036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TFS of Gurdon IncGroup PAC ID 3971594052, 9 clinicians

Practice addresses (Care Compare)

829 Halbert St
Malvern, AR 72104-2607
Phone (501) 332-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005314ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita Regional Counseling and Mental Health Center, Inc. CurrentSince Nov 1, 2019 Accepting new patients
TFS of Gurdon Inc CurrentSince Aug 15, 2018 Accepting new patients
Ouachita Regional Counseling & Mental Health Center, Inc. CurrentSince Nov 1, 2019 Accepting new patients

Locations

125 Wellness Way
Hot Springs National Park, AR 71913
Phone (501) 620-5231

829 Halbert St
Malvern, AR 72104
Phone (501) 332-4400

Organizations & group practices 3

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1063600997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 HALBERT ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042607",
            "telephone_number": "501-332-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 HALBERT ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042607",
            "telephone_number": "501-332-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719136478",
            "country_code": "US",
            "telephone_number": "501-624-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "BETHANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A005314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.