Active NPI
Joanna Marie Bettineski, LMP
- Specialist
- Kennewick, WA
National Provider Identifier
1497289888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60750704
- Practice address
- 601 N Oklahoma PL
Kennewick, WA 99336-1055 - Phone
- (541) 969-9843
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA60750704 | WA | Primary |
Addresses
Primary practice location
601 N Oklahoma PL
Kennewick, WA 99336-1055
Mailing address
601 N Oklahoma PL
Kennewick, WA 99336-1055
Phone (541) 969-9843
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60750704 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1497289888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N OKLAHOMA PL",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361055",
"telephone_number": "541-969-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N OKLAHOMA PL",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361055",
"telephone_number": "541-969-9843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTINESKI",
"first_name": "JOANNA",
"middle_name": "MARIE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60750704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
- Bethany Dawn Berklund
- Amanda Bernert
- Miriam Berry Herrera
- Michelle Oliver Berry-Burkhart
- Christine Adelle Best, LMP
- Riley A Betzsold, LMT
- Alexis Joyce Beyers
- BFG Kennewick Master Tenant, LLC (Fieldstone Memory Care of Kennewick)
- BFG Kennewick Master Tenant, LLC (Fieldstone Grandridge Independent and Assisted Living)
- Bi-State Occupational Safety & Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.