Individual provider Active NPI

Bethany Whitson, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1477052876
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10981 Issued in AZ
Practice address
3300 W Camelback Rd
Phoenix, AZ 85017-3030
Phone
(602) 639-6215
Fax
(602) 639-7830
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10981 AZ Primary
Family Nurse Practitioner 363LF0000X 224149 AR

Addresses

Primary practice location

3300 W Camelback Rd
Phoenix, AZ 85017-3030

Mailing address

3300 W Camelback Rd
Phoenix, AZ 85017-3030
Phone (602) 639-6215

Other names 1

  • Bethany Collins Whitson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210422000035 AZ Practitioner - Nurse Practitioner 0648688127 Reassigns benefits to 1 organization
I20240919001430 AR Practitioner - Nurse Practitioner 0648688127 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10981AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Canyon University CurrentSince Jan 1, 2021 Accepting new patients
Sana Wound Care LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

22 W Colt Square Dr
Fayetteville, AR 72703
Phone (479) 480-6677

27 W Township St
Fayetteville, AR 72703
Phone (479) 480-6677

101 N Colorado St
Unit 862
Chandler, AZ 85244

3300 W Camelback Rd
Bldg 47
Phoenix, AZ 85017
Phone (602) 639-6215

3300 W Camelback Rd
Phoenix, AZ 85017
Phone (602) 639-7500

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": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1477052876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173030",
            "telephone_number": "602-639-6215",
            "fax_number": "602-639-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173030",
            "telephone_number": "602-639-6215",
            "fax_number": "602-639-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "BETHANY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10981",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "224149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "WHITSON",
            "middle_name": "COLLINS",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.