Individual provider Active NPI

Bettena Witherspoon, APRN

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1073879995
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16193 Issued in TN
Practice address
352 W Northfield Blvd Ste 3
Murfreesboro, TN 37129-1539
Phone
(615) 896-5864
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 156347 TN
Family Nurse Practitioner 363LF0000X 16193 TN Primary

Addresses

Primary practice location

352 W Northfield Blvd Ste 3
Murfreesboro, TN 37129-1539

Mailing address

1132 Tiger Woods Way
Murfreesboro, TN 37129-7480
Phone (615) 513-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140401001711 TN Practitioner - Nurse Practitioner 5496986663 Reassigns benefits to 1 organization
I20231207001563 KY Practitioner - Nurse Practitioner 5496986663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twelvestone Infusion Centers LLCGroup PAC ID 6800151424, 64 clinicians

Practice addresses (Care Compare)

5002 Crossings Cir
Suite 100
Mt Juliet, TN 37122-8496
Phone (844) 893-0012

950 Breckenridge LN
Suite 280
Louisville, KY 40207-5900
Phone (844) 893-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
156347TNMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Twelvestone Infusion Centers LLC CurrentSince May 1, 2020 Accepting new patients
Precision Health Care, Inc Past Accepting new patients

Locations

1001 Monarch St
Ste 110
Lexington, KY 40513
Phone (859) 224-0834

950 Breckenridge Ln
Ste 280
Louisville, KY 40207

5002 Crossings Cir
Ste 100
Mt Juliet, TN 37122
Phone (615) 515-9111

352 W Northfield Blvd
Ste 3C
Murfreesboro, TN 37129

352 W Northfield Blvd
Ste 4C
Murfreesboro, TN 37129
Phone (615) 895-6977

Organizations & group practices 2

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1073879995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 TIGER WOODS WAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371297480",
            "telephone_number": "615-513-3003",
            "fax_number": "615-367-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 W NORTHFIELD BLVD STE 3",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291539",
            "telephone_number": "615-896-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "BETTENA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "TN",
            "license": "156347",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.