Active NPI
Christina M Betances, NP
- Gerontology Nurse Practitioner
- Bradford, MA
National Provider Identifier
1114565181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN2296501
- Practice address
- 145 Ward Hill Ave
Bradford, MA 01835-5896 - Phone
- (978) 372-8000
- NPI assigned
- Dec 20, 2019
- Last updated
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | RN2296501 | MA | |
| Gerontology Nurse Practitioner | 363LG0600X | RN2296501 | MA | Primary |
Addresses
Primary practice location
145 Ward Hill Ave
Bradford, MA 01835-5896
Mailing address
35 United Dr Ste 102
West Bridgewater, MA 02379-1056
Phone (508) 238-8646
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1114565181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 UNITED DR STE 102",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791056",
"telephone_number": "508-238-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 WARD HILL AVE",
"city": "BRADFORD",
"state": "MA",
"postal_code": "018355896",
"telephone_number": "978-372-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCES",
"first_name": "CHRISTINA",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "MA",
"license": "RN2296501",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "RN2296501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.