Bettina Phagan, M.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

308 NW Alana Ave
Port St Lucie, FL 34986-2609

Phone

(772) 626-4946

NPI assigned

Apr 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1477810133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NW ALANA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862609",
            "telephone_number": "772-626-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NW ALANA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862609",
            "telephone_number": "772-626-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAGAN",
        "first_name": "BETTINA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew W Petrovic, D.C.
• Christopher Lawrence Petterson, D.D.S.
• Shalita Pettway
• Lisa Karen Pezzullo, CRTT
• Elisabeth E. Pfirrmann, MSW
• Sarah Anabelle Phajou Louis
• Linh Pham
• Maikhoi T Pham, DPM, MBA
• Phara Inc (Medical Nutrition Therapy Works)
• Susan Lynch Philcox, APRN, PMHNP-BC

• Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.