Bethany King, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-148719 Issued in AL

Practice address

29653 Anchor Cross Blvd
Daphne, AL 36526-9594

Phone

(251) 625-6896

Fax

(251) 625-6897

NPI assigned

Aug 16, 2019

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Cancer Center PCGroup PAC ID 5597860403, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baldwin Health Hospital, Foley, AL, CCN 010083
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Merit-based Incentive Payment System (MIPS)

Final score

91.81 of 100Reported as subgroup

Quality

91.87

Promoting interoperability

100

Improvement activities

40

Cost

71.54

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bethany.king@southerncancercenter.ikm.direct-ci.com

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.

• Southern Cancer Center, PC

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1578629556
  Medicare reassignment Care Compare group NPD
• Southern Cancer Center, PC

  • Pharmacy
  • Mobile, AL
  • NPI 1568142099
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Foley Hospital Company LLC

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655
  Care Compare affiliation
• Gulf Health Hospitals, Inc

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1497301139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29653 ANCHOR CROSS BLVD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269594",
            "telephone_number": "251-625-6896",
            "fax_number": "251-625-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29653 ANCHOR CROSS BLVD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269594",
            "telephone_number": "251-625-6896",
            "fax_number": "251-625-6897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "669 S McKenzie St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365351965",
            "country_code": "US",
            "telephone_number": "251-625-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "BETHANY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-148719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A07842B",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240803",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02566941",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Recovery, LLC
• Khaled Khamis, BCBA
• Kids Kount Therapy Services
• Kids Kount Therapy Services, LLC
• Jennifer Killgo
• Cameron Blake King, PT, DPT
• Caitlin Jennings Kirby, LICSW
• Breanne Dutter Kirchler, M.S. CCC-SLP
• Elle B Klayko
• Andrew Joseph Knight, DMD

• Family Nurse Practitioner in Daphne, AL
• Providers in Daphne, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.