Bethany Joy Nkosi, ATC, ATL

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL1459 Issued in FL

Practice address

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019

Phone

(863) 680-7088

NPI assigned

Apr 13, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1285698647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12816A SYDNEY RD",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335275961",
            "telephone_number": "850-449-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053019",
            "telephone_number": "863-680-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKOSI",
        "first_name": "BETHANY",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "ATC, ATL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nite Owl Pediatrics, Inc.
• Amy Lynn Nixon, PHARM.D.
• Jennifer M Nixon, MD
• Sara C Nixon, RMHCI
• Linda Diane Nixson, OTR/L
• No Limits... Learning Through Experience, Inc.
• David Jamal Noble, PHARMD
• Kawveh Nofallah, DMD
• Yanikza M Nofer
• Micaleigh Noll, PHARMD

• Athletic Trainer in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.