Bethany Knorr, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00859 Issued in RI

Practice address

268 Post Rd
Westerly, RI 02891-6600

Phone

(401) 604-2500

NPI assigned

Jan 25, 2016

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

Other names 1

• Bethany Soucy Former name

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Silver Spring Health Care Management, Inc.

  • Internal Medicine Physician
  • East Greenwich, RI
  • NPI 1568555183

  Medical, RI

  Medicare reassignment Care Compare group NPD (past)
• Emergency Care Services of New England PC

  • Emergency Medicine Physician
  • North Providence, RI
  • NPI 1639537335

  RI

  Medicare reassignment
• Silver Spring Health Care Management, Inc.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1346820545

  Medical

  NPD
• Silver Spring Health Care Management, Inc.

  • Pediatrics Physician
  • Wakefield, RI
  • NPI 1992224497
  NPD
• Silver Spring Health Care Management, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wakefield, RI
  • NPI 1104871003
  NPD (past)
• Silver Spring Health Care Management, Inc.

  • Internal Medicine Physician
  • Westerly, RI
  • NPI 1700249851

  Medical

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South County Hospital Healthcare System

  • General Acute Care Hospital
  • Wakefield, RI
  • NPI 1952366106

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1124485941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-788-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 POST RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028916600",
            "telephone_number": "401-604-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3461 S County Trl",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181465",
            "country_code": "US",
            "telephone_number": "401-471-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNORR",
        "first_name": "BETHANY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "SOUCY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam S. Kaufman, D.M.D.
• Edward Armen Kent, MDD
• Christopher J Kerszko, DC
• Stephanie Ketchen
• Kimberly a. Newbury
• Esther H. Kollars, D.C.
• Thomas T Kollars, DC
• Insu Kong, MD
• Victoria Korson, DPT
• Kimberly Kralicky, LICSW

• All providers in Westerly, RI
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.