Individual provider Active NPI

Betheny Lyn Schumacher, FNP-BC

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1558703488
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171002 Issued in VA
Practice address
10301 New Guinea Rd
Fairfax, VA 22032-3268
Phone
(703) 764-5100
NPI assigned
Jul 19, 2013
Last updated
Feb 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171002 VA Primary
Registered Nurse 163W00000X 0001222593 VA

Addresses

Primary practice location

10301 New Guinea Rd
Fairfax, VA 22032-3268

Mailing address

13301 Gateway Center Dr
Gainesville, VA 20155-2984
Phone (703) 819-2883

Other names 1

  • Betheny Lyn Fry Other name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001222593VAMDRegistered Nurse
0024171002VAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: betheny.schumacher.1@14940.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1558703488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 GATEWAY CENTER DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552984",
            "telephone_number": "703-819-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 NEW GUINEA RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323268",
            "telephone_number": "703-764-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "BETHENY",
        "middle_name": "LYN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171002",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001222593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHENY",
            "last_name": "FRY",
            "middle_name": "LYN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.