Bethanie Lynn Nice, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

0024175005 Issued in VA

Practice address

824 Greenbrier Pkwy Ste 100
Chesapeake, VA 23320

Phone

(217) 821-7013

NPI assigned

Mar 24, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment NPD
• Reboot Functional Health Care Corporation

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1427709526
  Medicare reassignment NPD
• Beach Counseling, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Virginia Beach, VA
  • NPI 1689162547
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1205253580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 GREENBRIER PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203697",
            "telephone_number": "217-821-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 GREENBRIER PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "217-821-7013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5030 Camino De La Siesta",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083116",
            "country_code": "US",
            "telephone_number": "619-692-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICE",
        "first_name": "BETHANIE",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024175005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tam Nguyen, OD
• Thuy Nguyen, PHARMD
• Tien T Nguyen, FNP-C
• Van Thi Nguyen, M.D.
• Victoria Nguyen, RPH
• Anya Nichols
• Arthur Nichols III
• Glenn W Nichols, MD
• Levette Nichols
• Jennifer Corine Nicholson, M.S. CCC-SLP

• Obstetrics & Gynecology Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.