Active NPI
Bethany Bartholomew, FNP-C
- Nurse Practitioner
- Wake Forest, NC
National Provider Identifier
1154979227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5012169
- Practice address
- 123 Capcom Ave Ste 105
Wake Forest, NC 27587-6517 - Phone
- (919) 263-8510
- NPI assigned
- Aug 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5012169 | NC | Primary |
Addresses
Primary practice location
123 Capcom Ave Ste 105
Wake Forest, NC 27587-6517
Mailing address
123 Capcom Ave Ste 105
Wake Forest, NC 27587-6517
Phone (919) 263-8510
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 |
|---|---|---|---|
| 5012169 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1154979227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 CAPCOM AVE STE 105",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876517",
"telephone_number": "919-263-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 CAPCOM AVE STE 105",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876517",
"telephone_number": "919-263-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTHOLOMEW",
"first_name": "BETHANY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5012169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.