Individual provider Active NPI

Bethann Rowlands, DNP, GNP-BC

  • Nurse Practitioner
  • Lynn, MA
National Provider Identifier
1457416786
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN229985 Issued in MA
Practice address
60 Granite St
Lynn, MA 01904-2915
Phone
(978) 816-2728
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 229985 MA
Nurse Practitioner 363L00000X RN229985 MA Primary

Addresses

Primary practice location

60 Granite St
Lynn, MA 01904-2915

Mailing address

Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001

Other practice location 1

480 Lincoln Ave
Saugus, MA 01906-3776
Phone (781) 941-2241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050822000575 MA Practitioner - Nurse Practitioner 1355371139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charter LTC LLCGroup PAC ID 0840674578, 20 clinicians

Practice addresses (Care Compare)

55 Highland Ave
Suite 304
Salem, MA 01970-2100
Phone (978) 354-4611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229985MAMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Feb 24, 2024 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Feb 24, 2024 Accepting new patients
Charter LTC LLC CurrentSince Apr 18, 2023 Accepting new patients
Charter Health PC CurrentSince Apr 18, 2023 Accepting new patients
Hallmark Health Medical Associates Inc Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

60 Granite St
Lynn, MA 01904
Phone (781) 599-9200

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

Organizations & group practices 5

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1457416786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDER ENROLLMENT 41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GRANITE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042915",
            "telephone_number": "978-816-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Saugus",
            "state": "MA",
            "postal_code": "019063776",
            "country_code": "US",
            "telephone_number": "781-941-2241",
            "fax_number": "781-941-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWLANDS",
        "first_name": "BETHANN",
        "credential": "DNP, GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MA",
            "license": "229985",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN229985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.