Bethel Laine, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

9358430 Issued in FL

Practice address

791 NE 153Rd St
Miami, FL 33162-5230

Phone

(715) 205-0335

NPI assigned

Oct 22, 2014

Last updated

Jun 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Health Center LLCGroup PAC ID 3971521584, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bertherl.laine.1@24158.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Health Center, LLC.

  • Family Medicine Physician
  • North Miami, FL
  • NPI 1689663205
  Medicare reassignment Care Compare group NPD
• Miccosukee Corporation

  • Clinic/Center
  • Miami, FL
  • NPI 1245109768

  TX

  Medicare reassignment

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1528463387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 NE 153RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331625230",
            "telephone_number": "715-205-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 NE 153RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331625230",
            "telephone_number": "715-205-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAINE",
        "first_name": "BETHEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9358430",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9358430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yissel Marta Lahullier Tormo
• Lai Behavior Analysis Inc
• Lai-Yuan Liu MD
• Madeline Church Lai, CRNA
• Richard Vincent Lai, D.D.S
• Saidel Laine, MD
• Camper Antonio Lainez
• Sarah Laing
• Lajas Medical Supply Corp
• Taylor Nicole Lakatis

• Primary Care Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.