Active NPI
Bethany Womens Health Center, LLC
- Women's Health Nurse Practitioner
- Lexington, SC
National Provider Identifier
1700941010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APN30
- Legal business name
- BETHANY WOMENS HEALTH CENTER, LLC
- Practice address
- 120 N Lake Dr
Lexington, SC 29072-2836 - Phone
- (803) 808-1707
- Fax
- (803) 356-9327
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Linda Gail Hancock, CNM, MN
- Title
- Owner
- Phone
- (803) 808-1707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APN30 | SC | Primary |
Addresses
Primary practice location
120 N Lake Dr
Lexington, SC 29072-2836
Mailing address
120 N Lake Dr
Lexington, SC 29072-2836
Phone (803) 808-1707
National Provider Directory
National Provider DirectoryLocations
120 N Lake Dr
Lexington, SC 29072
Phone (803) 808-1707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700941010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N LAKE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722836",
"telephone_number": "803-808-1707",
"fax_number": "803-356-9327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N LAKE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722836",
"telephone_number": "803-808-1707",
"fax_number": "803-356-9327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY WOMENS HEALTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HANCOCK",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "GAIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-808-1707",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "CNM, MN"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "SC",
"license": "APN30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.