Organization Active NPI

Bethany Womens Health Center, LLC

  • Women's Health Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1700941010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN30 Issued in SC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.