Bethany Randolph Hogan, APN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17711 Issued in TN

Practice address

5520 High St
Ooltewah, TN 37363-8131

Phone

(423) 209-5440

NPI assigned

Jun 19, 2013

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

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

Specialty

Nurse Practitioner

Education

University of Tennessee, HSC, College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of HamiltonGroup PAC ID 0446272207, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Hamilton

  dba Hamilton County Health Department

  • Public Health or Welfare Agency
  • Chattanooga, TN
  • NPI 1386665594
  Medicare reassignment Care Compare group NPD
• Bradley Polk Walk in Clinic

  • Rural Health Clinic/Center
  • Ocoee, TN
  • NPI 1770929333

  Family

  Medicare reassignment NPD
• County of Hamilton

  dba Hamilton County Health Department at Ooltewah

  • Public Health or Welfare Agency
  • Ooltewah, TN
  • NPI 1184870883
  NPD
• County of Hamilton

  dba Hamilton County Health Department Homeless Health Care Center

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1215350194
  NPD
• Gastrointestinal Associates of Cleveland, PC

  • Gastroenterology Physician
  • Cleveland, TN
  • NPI 1316981087
  NPD
• County of Hamilton

  dba Hamilton County Health Department at Birchwood

  • Public Health or Welfare Agency
  • Birchwood, TN
  • NPI 1215335740
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1326487752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032102",
            "telephone_number": "423-209-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 HIGH ST",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638131",
            "telephone_number": "423-209-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "BETHANY",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mrs.",
        "credential": "APN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Hedden, MD
• Alfred Perry Hegwood, BSPH
• Helping Hands for Veterans LLC
• Patrice Vivienne Henry, APRN
• Daniel Mark Hixon
• Jeremiah Wilson Holt, DDS
• Brianne Hooper, OTR/L
• Hope Chattanooga
• Philip Henri Hopkins Jr., DR. OF PHARMACY
• Stephanie Huskins

• Family Nurse Practitioner in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.