Individual provider Active NPI

Bethann Marie Guevara, DNP, NP-C

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1437664778
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010398 Issued in NC
Practice address
815 Oberlin Rd
Raleigh, NC 27605-1300
Phone
(919) 322-4722
Fax
(919) 322-4729
NPI assigned
Dec 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 178496 NC
Family Nurse Practitioner 363LF0000X F06172568 NC
Family Nurse Practitioner 363LF0000X 5010398 NC Primary

Addresses

Primary practice location

815 Oberlin Rd
Raleigh, NC 27605-1300

Mailing address

10900 World Trade Blvd
Raleigh, NC 27617-4202
Phone (919) 237-1337

Other practice location 1

4624 Primrose Pl
Rocky Mount, NC 27804-2908
Phone (252) 443-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180608001563 NC Practitioner - Nurse Practitioner 4587919899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Brody School of Medicine at East Carolina University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

815 Oberlin Rd
Suite 200
Raleigh, NC 27605-1351
Phone (919) 655-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5010398NCMDFamily Nurse Practitioner
F06172568NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wilson CurrentSince Apr 9, 2018 Accepting new patients
Avance Care, PA CurrentSince Sep 1, 2022 Accepting new patients

Locations

3801 Wake Forest Rd
Ste 110
Raleigh, NC 27609
Phone (984) 263-4110

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

815 Oberlin Rd
Ste 200
Raleigh, NC 27605
Phone (919) 322-4722

10900 World Trade Blvd
Raleigh, NC 27617
Phone (919) 237-1337

815 Oberlin Rd
Raleigh, NC 27605
Phone (919) 322-4722

1801 Glendale Dr SW
Wilson, NC 27893
Phone (252) 237-3141

Interoperability endpoints

  • Direct secure messaging: bguevara@wchd.curemd.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1437664778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 WORLD TRADE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174202",
            "telephone_number": "919-237-1337",
            "fax_number": "919-237-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051300",
            "telephone_number": "919-322-4722",
            "fax_number": "919-322-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4624 Primrose Pl",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042908",
            "country_code": "US",
            "telephone_number": "252-443-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "BETHANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP,  NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "178496",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F06172568",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.