Anita Bethea, LVN
Individual provider Active NPI Licensed Vocational Nurse · Pinola, MS
NPI 1508230822 · NPPES record last updated Nov 24, 2015
Key facts
- NPI
- 1508230822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- P319589 (MS)
- Practice address
- 168 Old Highway 13
Pinola, MS 39149-3813 - Phone
- (601) 808-1914
- Fax
- (601) 847-2086
- NPI assigned
- Nov 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P319589 | MS | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Health Care LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | P319589 | MS | Yes |
Addresses
Primary practice location
168 Old Highway 13
Pinola, MS 39149-3813
Mailing address
168 Old Highway 13
Pinola, MS 39149-3813
Phone (601) 808-1914
Other providers in Pinola, MS
- Tracy P Banks
- Lashanda Carter
- Compassionate Health Care LLC
- Family Health Care Clinic, Inc.
- Andrelena Harris
- Eboney Taylor
All providers in Pinola, MS · Licensed Vocational Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.