Individual provider Active NPI

Betsy B Dehart, CPNP-PC

  • Pediatric Nurse Practitioner
  • Wylie, TX
National Provider Identifier
1689985749
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
732856 Issued in TX
Practice address
501 Woodbridge Pkwy
Wylie, TX 75098-7060
Phone
(972) 442-2300
Fax
(972) 442-2180
NPI assigned
Jun 23, 2010
Last updated
Jun 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 732856 TX Primary

Addresses

Primary practice location

501 Woodbridge Pkwy
Wylie, TX 75098-7060

Mailing address

501 Woodbridge Pkwy
Wylie, TX 75098-7060
Phone (972) 442-2300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230119001183 TX Practitioner - Nurse Practitioner 9537530092 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
732856TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc CurrentSince Dec 14, 2022 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince Dec 14, 2022 Accepting new patients
Pediatric Associates of Wylie, P.a. Past Accepting new patients

Locations

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

2730 Country Club Rd
Lucas, TX 75002
Phone (214) 454-7377

2730 Country Club Rd
Ste B
Lucas, TX 75002
Phone (972) 442-2300

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

501 Woodbridge Pkwy
Wylie, TX 75098
Phone (972) 442-2300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1689985749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WOODBRIDGE PKWY",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987060",
            "telephone_number": "972-442-2300",
            "fax_number": "972-442-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WOODBRIDGE PKWY",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987060",
            "telephone_number": "972-442-2300",
            "fax_number": "972-442-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHART",
        "first_name": "BETSY",
        "middle_name": "B",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "732856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.