Individual provider Active NPI

Hillary M. Bethel

  • Social Worker
  • Palmetto Bay, FL
National Provider Identifier
1245377738
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
17615 SW 97TH Ave
2ND Floor
Palmetto Bay, FL 33157-5636
Phone
(786) 624-2679
Fax
(786) 268-1748
NPI assigned
Jan 31, 2007
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

17615 SW 97TH Ave
2ND Floor
Palmetto Bay, FL 33157-5636

Mailing address

17615 SW 97TH Ave
2ND Floor
Palmetto Bay, FL 33157-5636
Phone (786) 624-2679

Other identifiers 2

IdentifierTypeStateIssuer
767147400MedicaidFL
003069500MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1245377738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 SW 97TH AVE",
            "address_2": "2ND FLOOR",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575636",
            "telephone_number": "786-624-2679",
            "fax_number": "786-268-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17615 SW 97TH AVE",
            "address_2": "2ND FLOOR",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575636",
            "telephone_number": "786-624-2679",
            "fax_number": "786-268-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "HILLARY",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767147400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003069500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.