Individual provider Active NPI

Teri Betha, CRNA

  • Certified Registered Nurse Anesthetist
  • Las Cruces, NM
National Provider Identifier
1700815016
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
58242 Issued in NM
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

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2643858MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051208000209 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890716690 Reassigns benefits to 1 organization
I20200224000747 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890716690 Reassigns benefits to 4 organizations

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
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

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 Hospital, Las Cruces, NM, CCN 320018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0737799OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Feb 1, 2020 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Oct 1, 2021 Accepting new patients
Southwestern Eye Center LTD CurrentSince Oct 1, 2021 Accepting new patients
Las Cruces HB Medical Services LLC CurrentSince Oct 30, 2024 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2015 Accepting new patients
Anesthesia Associates of New Mexico P C CurrentSince Dec 31, 2021 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.