Active NPI
Ashley Jo Bethell, MSE, ATC
- Athletic Trainer
- Quincy, IL
National Provider Identifier
1508967720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-00502
- Practice address
- 1118 Hampshire St.
Quincy, IL 62301-1851 - Phone
- (217) 222-6550
- Fax
- (217) 231-2079
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-00502 | KS | Primary |
Addresses
Primary practice location
1118 Hampshire St.
Quincy, IL 62301-1851
Mailing address
2701 Harrison St Apt 1
Quincy, IL 62301-6116
Phone (217) 653-9099
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 |
|---|---|---|---|
| 24-00502 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508967720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 HARRISON ST APT 1",
"city": "QUINCY",
"state": "IL",
"postal_code": "623016116",
"telephone_number": "217-653-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 HAMPSHIRE ST.",
"city": "QUINCY",
"state": "IL",
"postal_code": "623011851",
"telephone_number": "217-222-6550",
"fax_number": "217-231-2079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHELL",
"first_name": "ASHLEY",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "MSE, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-00502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.