Bette K Idemoto, PHD RN CCRN CS

Primary specialty

Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X

License

RN.105167 Issued in OH

Practice address

11100 Euclid Ave
Mailstop Wearn 5057
Cleveland, OH 44106-1716

Phone

(216) 844-2202

Fax

(216) 844-3850

NPI assigned

Oct 17, 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

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285714592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 RACE ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172320",
            "telephone_number": "440-243-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "MAILSTOP WEARN 5057",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-2202",
            "fax_number": "216-844-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDEMOTO",
        "first_name": "BETTE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD RN CCRN CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "OH",
            "license": "RN.105167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Ice
• Harold Melvin Ickes II
• Daveida Id-Deen
• Michelle K Idada, MPAS, PA-C
• Ideis Transportaion
• Cristian Iditoiu, M.D.
• Maksat Idris, MD
• Carolyn E Ievers-Landis, PHD
• Nada Mir Iftekhar
• Zainab Ifthikar, MD

• Clinical Nurse Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.