Active NPI
Brian Maurice Bethley
- Personal Care Attendant
- Metairie, LA
National Provider Identifier
1144933276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 00000
- Practice address
- 3100 Ridgelake Dr Ste 309a
Metairie, LA 70002-4938 - Phone
- (504) 309-0259
- NPI assigned
- Jan 4, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 00000 | LA | Primary |
Addresses
Primary practice location
3100 Ridgelake Dr Ste 309a
Metairie, LA 70002-4938
Mailing address
3100 Ridgelake Dr Ste 309a
Metairie, LA 70002-4938
Phone (504) 309-0259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750754727 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Metairie | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | LA | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1144933276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 RIDGELAKE DR STE 309A",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700024938",
"telephone_number": "504-309-0259",
"fax_number": "504-309-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 RIDGELAKE DR STE 309A",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700024938",
"telephone_number": "504-309-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHLEY",
"first_name": "BRIAN",
"middle_name": "MAURICE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "LA",
"license": "00000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750754727",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Metairie",
"affiliation": "N",
"endpointDescription": "Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Metairie",
"address_1": "3100 Ridgelake Dr Ste 309A",
"city": "Metairie",
"state": "LA",
"country_code": "US",
"postal_code": "700024938",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.