Beth Abate Nurse Practitioner LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

BETH ABATE NURSE PRACTITIONER LLC

Practice address

6910 Mayfair Rd
Laurel, MD 20707-5237

Phone

(240) 447-9995

Fax

(240) 363-0063

NPI assigned

Dec 6, 2011

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Betelehem Abate, APRNNPI 1194050427

Title

Owner

Phone

(240) 447-9995

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Tax ID family

Beth Abate NP Maryland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beth Abate Nurse Practitioner LLC

  • Adult Health Nurse Practitioner
  • Laurel, MD
  • NPI 1891053690
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24821/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betelehem Abate, NP

  • Adult Health Nurse Practitioner
  • Laurel, MD
  • NPI 1194050427

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1427326321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 BALTIMORE AVE STE 465",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074902",
            "telephone_number": "240-447-9995",
            "fax_number": "301-776-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 MAYFAIR RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075237",
            "telephone_number": "240-447-9995",
            "fax_number": "240-363-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ABATE NURSE PRACTITIONER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "ABATE",
        "authorized_official_first_name": "BETELEHEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-447-9995",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN965723",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.