Taqiyyah Zafirah Betties, NP
Individual provider Active NPI Nurse Practitioner · Thomasville, NC
NPI 1669945937 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1669945937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5011415 (NC)
- Practice address
- 6329 Unity St Ste a
Thomasville, NC 27360-7186 - Phone
- (336) 793-2518
- Fax
- (336) 793-9589
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218310 | NC | MD | Nurse Practitioner |
| 5011415 | NC | MD | Nurse Practitioner |
Interoperability endpoints
- tcain144921@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 218310 | NC | |
| Nurse Practitioner | 363L00000X | 5011415 | NC | Yes |
Addresses
Primary practice location
6329 Unity St Ste a
Thomasville, NC 27360-7186
Mailing address
PO Box 604050
Charlotte, NC 28260-4050
Other practice location 1
4937 Old Country Club Rd
Winston Salem, NC 27104-5071
Phone (336) 718-4510
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tcain144921@direct.novanthealth.org |
Other providers in Thomasville, NC
- Bayada Home Health Care, Inc.
- Tammy Michelle Beard
- Michele Bell
- Benchmark Physical Therapy of NC, LLC
- Michayla Berard
- Blair Street Operating Company, LLC
- Jacquelyn Blake
- Allison Paige Blankenship
- Ashley Wishon Blevins
- Samantha Lee Bolanos
All providers in Thomasville, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.