Individual provider Active NPI

Bethany S Lacheney, NP

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1336638345
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024176164 Issued in VA
Practice address
5665 New Northside Dr Ste 320
Atlanta, GA 30328
Phone
(770) 874-5408
NPI assigned
May 4, 2018
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10018731 OR
Nurse Practitioner 363L00000X 0024176164 VA Primary
Nurse Practitioner 363L00000X 432000 NY
Nurse Practitioner 363L00000X 71017548A IN
Acute Care Nurse Practitioner 363LA2100X 0024176164 VA
Family Nurse Practitioner 363LF0000X 35279 TN
Registered Nurse 163W00000X 0001236172 VA

Addresses

Primary practice location

5665 New Northside Dr Ste 320
Atlanta, GA 30328

Mailing address

724 Bristol Village Dr Apt 302
Midlothian, VA 23114-4636
Phone (804) 426-4519

Other practice location 1

935 Wayne Rd
Savannah, TN 38372-1904
Phone (731) 926-8000

Other practice location 2

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2699

Other practice location 3

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5222

Other practice location 4

702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (260) 425-3000

Other identifiers 1

IdentifierTypeStateIssuer
300127227MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX, NY, WA, SC, TN, IN, NE, OR9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20180814000169 VA Practitioner - Nurse Practitioner 7618226317 Reassigns benefits to 3 organizations
I20210930002258 TX Practitioner - Nurse Practitioner 7618226317 Reassigns benefits to 2 organizations
I20211119001597 NY Practitioner - Nurse Practitioner 7618226317 Reassigns benefits to 6 organizations
I20220112001335 WA Practitioner - Nurse Practitioner 7618226317 Reassigns benefits to 2 organizations
I20231206004061 SC Practitioner - Nurse Practitioner 7618226317 Reassigns benefits to 1 organization
I20240521000548 TN Practitioner - Nurse Practitioner 7618226317 Reassigns benefits to 1 organization
I20260122003180 IN Practitioner - Nurse Practitioner 7618226317 Reassigns benefits to 1 organization
I20260424001821 NE Practitioner - Nurse Practitioner 7618226317 Reassigns benefits to 1 organization
I20260626004032 OR Practitioner - Nurse Practitioner 7618226317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Emergency Medical Services Inc.Group PAC ID 0749182665, 97 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Nyack Emergency Medical Association PLLCGroup PAC ID 2062411036, 59 clinicians

Practice addresses (Care Compare)

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

70 Dubois St
Newburgh, NY 12550-4851
Phone (954) 939-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
76.13
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001236172VAMDRegistered Nurse
71017548AINMDNurse Practitioner
432000NYMDNurse Practitioner
0024176164VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. CurrentSince Jan 1, 2026 Accepting new patients
South Sound Inpatient Physicians PLLC Nurse Practitioner Current Accepting new patients
Orange Emergency Services PC Nurse Practitioner CurrentSince Nov 7, 2023 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Jan 16, 2019 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Hudson Vista Physician Services PC CurrentSince Jan 1, 2024 Accepting new patients
Nyack Emergency Medical Association PLLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Aug 2, 2020 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Nov 10, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Nov 10, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Nurse Practitioner CurrentSince Oct 12, 2024 Accepting new patients
Sullivan Emergency Services PC Nurse Practitioner CurrentSince Nov 7, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Nurse Practitioner CurrentSince Oct 18, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Nurse Practitioner CurrentSince May 6, 2022 Accepting new patients
Cogent Healthcare of Washington, PC Nurse Practitioner CurrentSince Nov 10, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 2, 2020 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
University Emergency Medical Services Inc. CurrentSince Jun 1, 2023 Accepting new patients
T M Carr MD PC Nurse Practitioner CurrentSince Apr 8, 2024 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Locations (25 of 42)

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

1524 Barnwell Hwy
Denmark, SC 29042
Phone (803) 395-3352

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 7

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1336638345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 BRISTOL VILLAGE DR APT 302",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144636",
            "telephone_number": "804-426-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR STE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-874-5408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Wayne Rd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "TN",
            "postal_code": "383721904",
            "country_code": "US",
            "telephone_number": "731-926-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-2699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "541-767-5222",
            "fax_number": "541-767-5230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 VAN BUREN ST",
            "address_purpose": "LOCATION",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023697",
            "country_code": "US",
            "telephone_number": "260-425-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACHENEY",
        "first_name": "BETHANY",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10018731",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176164",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "432000",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71017548A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024176164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35279",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001236172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300127227",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.