Bethany Glynn, N.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NT60322427 Issued in WA

Practice address

24108 52ND Ave W
Mountlake Terrace, WA 98043-5612

Phone

(425) 829-1301

NPI assigned

Jan 26, 2013

Sex

Female

Sole proprietor

Yes

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": "1359158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359158400000",
    "number": "1639417694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24108 52ND AVE W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24108 52ND AVE W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435612",
            "telephone_number": "425-829-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "NT60322427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentiva Health Services (USA), Inc.
• Frantz Georges, FNP
• Lindsay Ghannam, LMHC, EDD
• Justin Ross Gladney, LCSW
• Deborah Anne Gleisner, ND, LM, CPM
• David Goldman, LMHC
• Paul Goldner
• Joy Gonyea, LMHCA
• Bonnie Jo Gonzalez, MA, LMFT
• Kathryn Ann Gottlieb, MS

• Family Medicine Physician in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.