Individual provider Active NPI

Bethany Karen Armendariz, RN, WHCNP, CNM

  • Advanced Practice Midwife
  • Camarillo, CA
National Provider Identifier
1174792196
Registry record updated Feb 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1748 Issued in CA
Practice address
461 Madreselva CT
Camarillo, CA 93012-6816
Phone
(714) 290-1061
NPI assigned
Feb 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 17064 CA
Advanced Practice Midwife 367A00000X 1748 CA Primary

Addresses

Primary practice location

461 Madreselva CT
Camarillo, CA 93012-6816

Mailing address

461 Madreselva CT
Camarillo, CA 93012-6816
Phone (714) 290-1061

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
Credentials
Certified Nurse Midwife, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1203811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203811200000",
    "number": "1174792196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 MADRESELVA CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126816",
            "telephone_number": "714-290-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 MADRESELVA CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126816",
            "telephone_number": "714-290-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENDARIZ",
        "first_name": "BETHANY",
        "middle_name": "KAREN",
        "credential": "RN, WHCNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-24",
        "last_updated": "2008-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "17064",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.