Active NPI
Kristen Bettin, M.D.
- Hospitalist Physician
- Memphis, TN
National Provider Identifier
1194043661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 49658
- Practice address
- 50 N Dunlap St
Room 461R
Memphis, TN 38103-2800 - Phone
- (901) 287-6292
- NPI assigned
- May 9, 2010
- Last updated
- Jan 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | 49658 | TN | |
| Hospitalist Physician | 208M00000X | 49658 | TN | Primary |
Addresses
Primary practice location
50 N Dunlap St
Room 461R
Memphis, TN 38103-2800
Mailing address
1200 E Irvin Dr
Memphis, TN 38119-4927
Phone (714) 816-1428
Other names 1
- Kristen Bettin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Ohio State University College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Humphreys Blvd
Memphis, TN 38120-2146
Phone (901) 287-7337
848 Adams Ave
Memphis, TN 38103-2816
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49658 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1342.epichosted.com/APIProxyPRD/MLH/api/FHIR/R4
- kbettin28167@mlh.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1194043661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E IRVIN DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194927",
"telephone_number": "714-816-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N DUNLAP ST",
"address_2": "ROOM 461R",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032800",
"telephone_number": "901-287-6292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTIN",
"first_name": "KRISTEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-09",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "49658",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "49658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "BETTIN",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.