Bethany Jill King

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

098438 Issued in IA

Practice address

5002 Underwood Ave
Omaha, NE 68132-2236

Phone

(402) 708-3894

NPI assigned

Jan 20, 2015

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

Other names 1

• Bethany Jill Ross Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1386033041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6255",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 UNDERWOOD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322236",
            "telephone_number": "402-708-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "BETHANY",
        "middle_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IA",
            "license": "098438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "ROSS",
            "middle_name": "JILL",
            "credential": "RN, CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Afoma Jane King, M.D.
• Alexandra Rachael King
• Alison E King, PLMHP, PCMSW
• Amber King
• Amy King
• Bettie King
• Brenna King, BSN, RN
• Brooklyn King
• Carole King
• Chaquela King

• Diabetes Educator Registered Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• Diabetes Educator Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.