Individual provider Active NPI

Bethany Elaine Condra, NP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1376952895
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18993 Issued in TN
Practice address
725 Glenwood Dr Ste E490
Chattanooga, TN 37404-1189
Phone
(423) 531-6104
Fax
(423) 531-6105
NPI assigned
Aug 8, 2014
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18993 TN Primary

Addresses

Primary practice location

725 Glenwood Dr Ste E490
Chattanooga, TN 37404-1189

Mailing address

725 Glenwood Dr Ste E490
Chattanooga, TN 37404-1189
Phone (423) 531-6104

Other practice location 1

2565 Business Park Dr NE
Cleveland, TN 37311-6503
Phone (423) 267-6738

Other practice location 2

2290 Ogletree Ave Ste 108
Chattanooga, TN 37421-8828
Phone (423) 267-6738

Other practice location 3

1724 Hamill Rd Ste 102
Hixson, TN 37343-5098
Phone (423) 267-6738

Other names 1

  • Bethany Elaine Daniel Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150603000193 TN Practitioner - Nurse Practitioner 5395064901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

725 Glenwood Dr
Suite E500
Chattanooga, TN 37404-1138
Phone (423) 495-2635

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18993TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Ocoee Regional Health Corporation CurrentSince Dec 29, 2014 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jun 10, 2019 Accepting new patients
Ocoee Regional Health Corporation CurrentSince Dec 29, 2014 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Jun 10, 2019 Accepting new patients

Locations

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

725 Glenwood Dr
Ste E490
Chattanooga, TN 37404
Phone (423) 624-8677

725 Glenwood Dr
Ste E500
Chattanooga, TN 37404
Phone (423) 495-2635

Interoperability endpoints

  • Direct secure messaging: bcondra157135@direct.stlukeshealth.org
  • Direct secure messaging: bethanycondra@tnmhpf.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1376952895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E490",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041189",
            "telephone_number": "423-531-6104",
            "fax_number": "423-531-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E490",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041189",
            "telephone_number": "423-531-6104",
            "fax_number": "423-531-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2565 Business Park Dr NE",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373116503",
            "country_code": "US",
            "telephone_number": "423-267-6738",
            "fax_number": "423-635-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2290 Ogletree Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374218828",
            "country_code": "US",
            "telephone_number": "423-267-6738",
            "fax_number": "423-635-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724 Hamill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373435098",
            "country_code": "US",
            "telephone_number": "423-267-6738",
            "fax_number": "423-635-7544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDRA",
        "first_name": "BETHANY",
        "middle_name": "ELAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "DANIEL",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.