Active NPI
Russell Christian Betz, RN
- Nursing Care Agency
- Lakeland, FL
National Provider Identifier
1083125157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- RN3164722
- Practice address
- 1302 Northglen LN
Lakeland, FL 33813-1823 - Phone
- (863) 646-4908
- NPI assigned
- Oct 17, 2017
- Last updated
- Oct 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | RN3164722 | FL | Primary |
Addresses
Primary practice location
1302 Northglen LN
Lakeland, FL 33813-1823
Mailing address
4798 S Florida Ave
Lakeland, FL 33813-2181
Phone (863) 646-4908
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN3164722 | FL | MD | Nursing Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Generations Transportation Services, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Lakeland, FL
- NPI 1164933974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1083125157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4798 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132181",
"telephone_number": "863-646-4908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 NORTHGLEN LN",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131823",
"telephone_number": "863-646-4908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETZ",
"first_name": "RUSSELL",
"middle_name": "CHRISTIAN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "RN3164722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Better Minds Counseling LLC
- Better Quest Healthcare Agency
- Better Together Marriage and Family Counseling Services, LLC
- Steven Ray Betteridge II, NP-C
- Bettye West & Associates, Inc. (Hope Counseling Centers)
- Robert H Bevis, MD
- Beyond Blessed Transport
- Beyond Care Home Services LLC
- Beyond Compassion Home Services LLC
- Pamela Bezner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.