Bethany Marie Collop, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1149791 Issued in TX

Practice address

12171 W Parmer LN Ste 102
Cedar Park, TX 78613-7362

Phone

(817) 966-6767

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 16, 2024 through Sep 16, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1396516894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 COLINA CV",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137867",
            "telephone_number": "817-966-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12171 W PARMER LN STE 102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137362",
            "telephone_number": "817-966-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLOP",
        "first_name": "BETHANY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1149791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Collier, BCBA
• Ashley Lynne Collins, LPC
• Kevin Collins, RRT, RPFT, AE-C
• Michele Renee Collins
• Sabrina Lee Collins, M.D.
• Comforts of Home HC LLC
• Comforts of Home HC LLC
• Comforts of Home Healthcare LLC
• Common Sense Care
• Complete Cure Healthcare PLLC

• Family Nurse Practitioner in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.