Active NPI
Teri Betha, CRNA
- Certified Registered Nurse Anesthetist
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 58242
- Practice address
- 4311 E Lohman Ave
Las Cruces, NM 88011-8255 - Phone
- (575) 556-7600
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0737799 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 58242 | NM | Primary |
Addresses
Primary practice location
4311 E Lohman Ave
Las Cruces, NM 88011-8255
Mailing address
555 S Telshor Blvd Ste 100B
Las Cruces, NM 88011-3644
Phone (216) 225-7989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2643858 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4311 E Lohman Ave
Mountain View Regional Medical Cent
Las Cruces, NM 88011-8255
Phone (575) 556-7600
Hospital & facility affiliations
- Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0737799 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| Southwestern Eye Center, LTD | Current | Accepting new patients | |
| Southwestern Eye Center LTD | Current | Accepting new patients | |
| Las Cruces HB Medical Services LLC | Current | Accepting new patients | |
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of New Mexico P C | Current | Accepting new patients | |
| Anesthesiology Consultants of Toledo, Inc | Past | Accepting new patients | |
| Anesthesiology Services Network LTD | Past | Accepting new patients |
Locations
4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
2030 S Solano Dr
Las Cruces, NM 88001
Phone (505) 521-1158
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
9485 Mentor Ave
Mentor on Lk, OH 44060
Phone (440) 205-5755
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Tempe, AZ
- NPI 1558102608
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1366482119
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1821076779
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1700815016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S TELSHOR BLVD STE 100B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880113644",
"telephone_number": "216-225-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118255",
"telephone_number": "575-556-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHA",
"first_name": "TERI",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "0737799",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "58242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2643858",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.