Individual provider Active NPI

Bethany Teilhet, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1285227231
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000027214 Issued in TN
Practice address
1021 W Oakland Ave
Johnson City, TN 37604-2191
Phone
(423) 952-8000
Fax
(423) 915-5109
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000027214 TN Primary

Addresses

Primary practice location

1021 W Oakland Ave
Johnson City, TN 37604-2191

Mailing address

701 Med Tech Pkwy Ste 401
Johnson City, TN 37604-2372
Phone (423) 631-0646

Other practice location 1

701 Med Tech Pkwy Ste 401
Johnson City, TN 37604-2372
Phone (423) 631-0646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20211021001569 TN Practitioner - Nurse Practitioner 9537557707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

2885 Boones Creek Rd
Suite 202
Johnson City, TN 37615-8004
Phone (423) 952-8050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000027214TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc CurrentSince Sep 12, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 22, 2022 Accepting new patients
Blue Ridge Medical Managgement Corporation CurrentSince Mar 22, 2022 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Sep 12, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Family Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

701 Med Tech Pkwy
Ste 401
Johnson City, TN 37604
Phone (423) 631-0646

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

2885 Boones Creek Rd
Ste 202
Johnson City, TN 37615
Phone (423) 952-8050

1021 W Oakland Ave
Johnson City, TN 37604
Phone (423) 952-8000

1021 W Oakland Ave
Ste 301
Johnson City, TN 37604
Phone (423) 915-5234

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1285227231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MED TECH PKWY STE 401",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042372",
            "telephone_number": "423-631-0646",
            "fax_number": "423-631-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042191",
            "telephone_number": "423-952-8000",
            "fax_number": "423-915-5109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Med Tech Pkwy Ste 401",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042372",
            "country_code": "US",
            "telephone_number": "423-631-0646",
            "fax_number": "423-631-0674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEILHET",
        "first_name": "BETHANY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000027214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.