Nicole Betty, MD, MPH

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2017042680 Issued in MO

Practice address

413 W Water Street
Greenfield, MO 65661

Phone

(636) 675-5665

NPI assigned

Aug 22, 2018

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1396226981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NW MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W WATER STREET",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "65661",
            "telephone_number": "636-675-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTY",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2017042680",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2017042680",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017042680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauretta M Britz, FNP
• Julie Burton, C.O.T.A.
• Citizens Memorial Health Care Foundation
• Citizens Memorial Healthcare (Dade County Family Medical Center)
• Dade County Health Center (Dade County Health Department)

• Internal Medicine Physician in Greenfield, MO
• Providers in Greenfield, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.