Bethany Chico

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143394 Issued in TX

Practice address

801 N Grand Ave
Gainesville, TX 76240-3573

Phone

(940) 612-8750

Fax

(940) 665-3048

NPI assigned

Oct 22, 2019

Last updated

Nov 27, 2023By the provider in NPPES

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

Other names 1

• Bethany Lindstrom Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• DFW Community Medical Group PLLC

  dba Community Medical Clinic

  • Physician Assistant
  • Irving, TX
  • NPI 1942674296

  Family

  Medicare reassignment NPD
• Callon Doc

  • Physician Assistant
  • Dallas, TX
  • NPI 1366162042
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629611793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOSPITAL BLVD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402002",
            "telephone_number": "940-612-8750",
            "fax_number": "940-665-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403573",
            "telephone_number": "940-612-8750",
            "fax_number": "940-665-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICO",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ntmccomm@ntmconline.net",
            "affiliation": "Y",
            "affiliationName": "Gainesville Community Hospital, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 N Grand Ave Ste 1&4",
            "city": "Gainesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762403573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "LINDSTROM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Careaxis LLC (Amada Senior Care Northeast Texas)
• Brandi Rae Carney
• Lindsey Cason, LCDC
• Laine Cawthon
• Jim Allison Chambers, PH.D.
• Regina Diane Chisum, WHNP-BC
• City of Ennis (Pecan Tree Rehab and Healthcare Center)
• Natalie Clack, NP-C
• Terri A Clark, PTA
• Clinton M Minter DC, PLLC

• Family Nurse Practitioner in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.