Individual provider Active NPI

Bette Ann Plumley, OTR

  • Contractor
  • Merrillville, IN
National Provider Identifier
1487838579
Registry record updated Dec 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
31000201A Issued in IN
Practice address
8380 Virginia St
Merrillville, IN 46410-6231
Phone
(219) 769-9069
NPI assigned
Dec 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 31000201A IN Primary

Addresses

Primary practice location

8380 Virginia St
Merrillville, IN 46410-6231

Mailing address

3523 Winsor PL
Crown Point, IN 46307-8929
Phone (219) 663-0869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31000201AINMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1198540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198540800000",
    "number": "1487838579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 WINSOR PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078929",
            "telephone_number": "219-663-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 VIRGINIA ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106231",
            "telephone_number": "219-769-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMLEY",
        "first_name": "BETTE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-25",
        "last_updated": "2007-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IN",
            "license": "31000201A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2007; 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.