Individual provider Active NPI

Bethany Marie Denmon, FNP-BC

  • Community Health Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1265834071
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
320090 Issued in NY
Practice address
4 Burlington St
Binghamton, NY 13903-3304
Phone
(607) 624-5582
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 603950 NY
Community Health Nurse Practitioner 363LC1500X 320090 NY Primary

Addresses

Primary practice location

4 Burlington St
Binghamton, NY 13903-3304

Mailing address

4 Burlington Street
Binghamton, NY 13903-3304
Phone (607) 624-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150324002363 NY Practitioner - Nurse Practitioner 3577880905 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
603950NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Feb 16, 2015 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 16, 2015 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

52 Harrison St
Johnson City, NY 13790
Phone (607) 729-8845

55 Main St
Laurens, NY 13796
Phone (607) 432-2050

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1265834071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BURLINGTON STREET",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139033304",
            "telephone_number": "607-624-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURLINGTON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139033304",
            "telephone_number": "607-624-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENMON",
        "first_name": "BETHANY",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "603950",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NY",
            "license": "320090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.