Active NPI
Bethany Smith, NP
- Family Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1326673633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95011890
- Practice address
- 1613 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5748 - Phone
- (910) 781-8927
- NPI assigned
- Mar 6, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN306491 | GA | |
| Family Nurse Practitioner | 363LF0000X | 95011890 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024189078 | VA | |
| Nurse Practitioner | 363L00000X | 5021802 | NC |
Addresses
Primary practice location
1613 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5748
Mailing address
1613 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5748
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5021802 | NC | MD | Nurse Practitioner |
| 95011890 | CA | MD | Family Nurse Practitioner |
| 0024189078 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1326673633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 MILITARY CUTOFF RD STE 110",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 MILITARY CUTOFF RD STE 110",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035748",
"telephone_number": "910-781-8927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BETHANY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-06",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN306491",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95011890",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024189078",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5021802",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.