Bethany Wiley, NP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R244909 Issued in MD

Practice address

913 Ridgebrook Rd Ste 312
Sparks Glencoe, MD 21152-9457

Phone

(410) 769-8801

Fax

(410) 769-8803

NPI assigned

Oct 14, 2025

Last updated

Oct 14, 2025By the provider in NPPES

Sex

Female

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1083580443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 RIDGEBROOK RD STE 312",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529457",
            "telephone_number": "410-769-8801",
            "fax_number": "410-769-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 RIDGEBROOK RD STE 312",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529457",
            "telephone_number": "410-769-8801",
            "fax_number": "410-769-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "BETHANY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "R244909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Scheeler, OTR/L
• Maria Schwartz
• Sara Beth Shoff, CCC-SLP
• Sparks Physical Therapy, Inc.
• Kathleen Victoria Viola, MD
• X-Gene Inc (X-Gene Diagnostics)

• Pediatrics Physician in Sparks Glencoe, MD
• Providers in Sparks Glencoe, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.