Beteleham Walle

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

3200 Pecks Woods Turn
New Brighton, MN 55112-8426

Phone

(612) 205-1408

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1730635715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PECKS WOODS TURN",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128426",
            "telephone_number": "612-205-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PECKS WOODS TURN",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128426",
            "telephone_number": "612-205-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLE",
        "first_name": "BETELEHAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Nathaniel-John Vogt, MA
• Laura Lee Voldahl, MSW
• Binh Y Vu, PA-C
• Andrew John Wahl, D.D.S.
• Elizabeth Walker
• Chris Wallin, L.P.
• Kalsang Wangmo, NP-C
• Bilan Warsame
• Waters & Woods Therapy, PLLC
• Gabriel Watson, PH.D., LP

• Non-emergency Medical Transport (VAN) in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.