Active NPI
Bethany Lee, CRNP
- Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-102680
- Practice address
- 735 S Washington Ave
Mobile, AL 36603-1301 - Phone
- (251) 433-2642
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-102680 | AL | Primary |
Addresses
Primary practice location
735 S Washington Ave
Mobile, AL 36603-1301
Mailing address
735 S Washington Ave
Mobile, AL 36603-1301
Phone (251) 433-2642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1720 Knowles Rd
Phenix City, AL 36869-7135
Phone (334) 291-0485
857 Crawford LN
Mobile, AL 36617-3877
Phone (251) 476-3420
Hospital & facility affiliations
- Amedisys Home Health of Foley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-102680 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM Pacs 2 LLC | Current | Accepting new patients | |
| Alabama Post-Acute Medical Service 1 PC | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| Bay Area Community Medicine, PC | Current | Accepting new patients |
Locations
1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847
280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585
735 S Washington Ave
Mobile, AL 36603
Phone (251) 433-2642
3737 Government Blvd
Ste 408
Mobile, AL 36693
Phone (251) 602-1911
1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485
857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Phenix City, AL
- NPI 1073052403
-
- Family Medicine Physician
- Mobile, AL
- NPI 1043258700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Foley, AL
- NPI 1013975572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1669064580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 S WASHINGTON AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366031301",
"telephone_number": "251-433-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S WASHINGTON AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366031301",
"telephone_number": "251-433-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BETHANY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-102680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.
- 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.