Bettis Affinity

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

BETTIS AFFINITY

Doing business as

HOMEWATCH CAREGIVERS OF KENNESAW

Practice address

3440 Blue Springs Rd NW Ste 103
Kennesaw, GA 30144-1035

Phone

(678) 956-8930

Fax

(678) 956-8930

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Enid Cherise Parker, BSN

Title

Clinical Manager

Phone

(678) 499-9703

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• HOMEWATCH CAREGIVERS OF KENNESAW Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bridget Bettis

  • In Home Supportive Care Agency
  • Kennesaw, GA
  • NPI 1871057224
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1750907184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 BLUE SPRINGS RD NW STE 103",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441035",
            "telephone_number": "678-956-8930",
            "fax_number": "678-956-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 BLUE SPRINGS RD NW STE 103",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441035",
            "telephone_number": "678-956-8930",
            "fax_number": "678-956-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTIS AFFINITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ENID",
        "authorized_official_middle_name": "CHERISE",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "678-499-9703",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871057224",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "1871057224",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMEWATCH CAREGIVERS OF KENNESAW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Rae Bergert, LPC
• Dennis G Bergin, OD
• Avery Miller Berkhan, PHARMD, RPH
• Ericka Bermudez, BCABA
• Beti Homecare Services LLC
• Bridget Bettis
• Namita Bhardwaj, MD
• Maria Bierman, PHARM.D.
• Big Idea Chiropractic Center LLC
• Big Idea Family Chiropractic Center

• Registered Nurse in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Registered Nurse in Georgia

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