Individual provider Active NPI

Bethany Hines, MS, RD, LDN

  • Registered Dietitian
  • Cumberland, MD
National Provider Identifier
1174148571
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX4556 Issued in MD
Practice address
12501 Willowbrook Rd FL 2
Cumberland, MD 21502-2506
Phone
(240) 964-8522
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX4556 MD Primary

Addresses

Primary practice location

12501 Willowbrook Rd FL 2
Cumberland, MD 21502-2506

Mailing address

PO Box 1671
Cumberland, MD 21501-1671
Phone (240) 964-8342

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bethany.s.hines@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922003283 MD Practitioner - Registered Dietitian Or Nutrition Professional 2264850353 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Aug 1, 2020 Accepting new patients
Upmc Western Maryland Corporation Current Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Aug 1, 2020 Accepting new patients
Upmc Western Maryland Health Services, LLC Dietitian, Registered CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8750

12502 Willowbrook Rd
Ste 380
Cumberland, MD 21502
Phone (240) 964-8585

12501 Willowbrook Rd
Fl 2
Cumberland, MD 21502
Phone (240) 964-8425

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1174148571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671",
            "telephone_number": "240-964-8342",
            "fax_number": "240-964-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 WILLOWBROOK RD FL 2",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022506",
            "telephone_number": "240-964-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "BETHANY",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-01-25",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethany.s.hines@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.