Bethany Lynn White

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703117120 Issued in MI

Practice address

3013 Highbrook Dr
Midland, MI 48642-3925

Phone

(989) 859-4690

NPI assigned

May 13, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1568036705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 HIGHBROOK DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423925",
            "telephone_number": "989-859-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 HIGHBROOK DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423925",
            "telephone_number": "989-859-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703117120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Werries, MA
• Sierra Rylee Westergard I
• Jamiy Western
• Mary Elizabeth Geraldine Wheeldon, NP-C
• Megan Nicole Wheeler
• Kathleen A White, R.D.
• Lauren Elizabeth White
• Tammy Whitman
• Dennis John Whitmer
• Gerald Whitney, MD

• Licensed Practical Nurse in Midland, MI
• Providers in Midland, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.