Active NPI
Annette Bettridge, PA
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1265959274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7008
- Practice address
- 5850 E Still Cir
Mesa, AZ 85206-3618 - Phone
- (650) 521-7957
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 17867 | CA | |
| Physician Assistant | 363A00000X | 7008 | AZ | Primary |
Addresses
Primary practice location
5850 E Still Cir
Mesa, AZ 85206-3618
Mailing address
5850 E. Still Circle
Mesa, AZ 85206
Phone (650) 521-7957
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17867 | CA | MD | Chiropractor |
| 7008 | AZ | MD | Military Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1265959274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 E. STILL CIRCLE",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "650-521-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 E STILL CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618",
"telephone_number": "650-521-7957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTRIDGE",
"first_name": "ANNETTE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "17867",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.