Bethany Maciuba, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200842 Issued in CO

Practice address

2045 N Franklin St
Denver, CO 80205-5437

Phone

(303) 764-4677

NPI assigned

Aug 28, 2016

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 Lyn White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1396291621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7332 S INDEPENDENCE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80127",
            "telephone_number": "303-885-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 N FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055437",
            "telephone_number": "303-764-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIUBA",
        "first_name": "BETHANY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "200842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "WHITE",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherina Elizabeth Macias
• David Bacilio Macias, RRT
• Renee Jo Maciel, ADDC
• Kenneth Macintyre, D.O.
• Rebekah Maciorowski, RN
• A. Nicole Mack, PSY.D.
• Angela Marie Mack
• Isaiah Mack
• Joalyn Dawn Mack, MACCC SLP
• Jovan Mack, FNP

• Registered Nurse in Denver, CO
• Providers in Denver, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.