Betty Jean Banks, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1095922 Issued in AL

Practice address

4611 Revere Way
Northport, AL 35475-4442

Phone

(205) 270-8975

NPI assigned

May 13, 2016

Last updated

May 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1467808998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 REVERE WAY",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754442",
            "telephone_number": "205-270-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 REVERE WAY",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754442",
            "telephone_number": "205-270-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "BETTY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1095922",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "628843",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9206249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "1095922",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1095922",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Baker
• Anissa R Ball
• Constance Ball, REGISTERED NURSE
• Bama Orthotic Center
• Bama Pedicatrics LLC
• Amanda Lois Creel Banta, LICSW
• Michael R. Barlow, M.D.
• James Talmadge Barnett Jr., M.D.
• Jillian Smith Barnette, CRNP
• Andrea Austin Barry, CRNP

• Registered Nurse in Northport, AL
• Providers in Northport, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.