Bethany Leda Donowho, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95013772 Issued in CA

Practice address

845 Via de la Paz Ste 16
Pacific Palisades, CA 90272-3627

Phone

(310) 999-2179

NPI assigned

Jan 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1194355404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 PALISADES DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722110",
            "telephone_number": "310-999-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 VIA DE LA PAZ STE 16",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723627",
            "telephone_number": "310-999-2179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 N Bedford Dr",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104321",
            "country_code": "US",
            "telephone_number": "310-999-2179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOWHO",
        "first_name": "BETHANY",
        "middle_name": "LEDA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95013772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry C. Davirro, D.D.S.
• Jason Joseph Debonis
• Debra Maltenfort, MD, Inc.
• James George Dedic, LCSW
• Justine Sarah Dembo, M.D.
• Dr Laure Weber a Psychological Corporation
• Dr. Gary D. Polan, OD
• Dr. William Francis D.D.S.
• Drpalidental Inc.
• Paul S. Dwan, M.D.

• Adult Health Nurse Practitioner in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.