Bethany St. Romain, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

214980 Issued in LA

Practice address

814 W McNeese St Ste 100
Lake Charles, LA 70605-5426

Phone

(337) 602-8686

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By the provider in NPPES

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 LA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Health, LLCGroup PAC ID 8628453404, 5 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allied Health, LLC

  • Clinic/Center
  • Lake Charles, LA
  • NPI 1831611508
  Medicare reassignment Care Compare group NPD
• Rosewood Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Lafayette, LA
  • NPI 1528104882
  NPD (past)

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1265027379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W MCNEESE ST STE 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055426",
            "telephone_number": "337-602-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W MCNEESE ST STE 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055426",
            "telephone_number": "337-602-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. ROMAIN",
        "first_name": "BETHANY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea St. Clair, DO
• St. Joseph Hospice of Southwest Louisiana LLC
• St. Luke's Diagnostic Clinic of Lake Charles, L.L.C.
• St. Nicholas Center for Children
• St. Paul Companion Care, L.L.C.
• Christian B St. Romain, DDS
• Connie Stackhouse
• Kaycie Stacy
• Earl Ray Stagg, M.D.
• Stanley R Kordisch M D AMC

• Family Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.

Verify at the official NPI Registry.