Individual provider Active NPI

Bethany Robinson, DNP, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Winchester, TN
National Provider Identifier
1194464966
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
221840 Issued in TN
Practice address
100 1St Ave SW Ste 202E
Winchester, TN 37398-1754
Phone
(256) 929-6188
Fax
(256) 918-3555
NPI assigned
Jun 1, 2022
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 221840 TN Primary

Addresses

Primary practice location

100 1St Ave SW Ste 202E
Winchester, TN 37398-1754

Mailing address

4945 Mingo Rd
Belvidere, TN 37306-2617
Phone (256) 708-3032

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.robinsonmh.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121001080 TN Practitioner - Nurse Practitioner 1052849791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 1St Ave SW
Suite 202E
Winchester, TN 37398-1754
Phone (256) 929-6188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37727TNMDPharmacist
221840TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robinson Mental Health LLC Psychiatric/Mental Health CurrentSince Nov 25, 2024 Accepting new patients

Locations

100 1st Ave SW
Ste 202E
Winchester, TN 37398
Phone (256) 929-6188

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1194464966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 MINGO RD",
            "city": "BELVIDERE",
            "state": "TN",
            "postal_code": "373062617",
            "telephone_number": "256-708-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 1ST AVE SW STE 202E",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981754",
            "telephone_number": "256-929-6188",
            "fax_number": "256-918-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "221840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.robinsonmh.com",
            "affiliation": "N",
            "endpointDescription": "Robinson Mental Health Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phone, Fax, Email",
            "address_1": "100 1st Ave SW Ste 202E",
            "city": "Winchester",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373981754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.