Individual provider Active NPI

Bethann Singrey

  • Licensed Practical Nurse
  • Mount Vernon, OH
National Provider Identifier
1710337795
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN109630 Issued in OH
Practice address
16134 Divelbiss Rd
Mount Vernon, OH 43050-8737
Phone
(740) 399-8025
Fax
(740) 397-1582
NPI assigned
Jun 21, 2016
Last updated
Jul 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN109630 OH Primary

Addresses

Primary practice location

16134 Divelbiss Rd
Mount Vernon, OH 43050-8737

Mailing address

16134 Divelbiss Rd
Mount Vernon, OH 43050-8737
Phone (740) 399-8025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN109630OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1710337795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16134 DIVELBISS RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508737",
            "telephone_number": "740-399-8025",
            "fax_number": "740-397-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16134 DIVELBISS RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508737",
            "telephone_number": "740-399-8025",
            "fax_number": "740-397-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGREY",
        "first_name": "BETHANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN109630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.