Bethanne F Cordova, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2019030527 Issued in MO

Practice address

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182

Phone

(816) 630-6081

NPI assigned

Aug 19, 2019

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bethanne Carpenter Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excelsior Springs City Hospital

  dba Excelsior Springs Hospital

  • Emergency Medicine Physician
  • Excelsior Springs, MO
  • NPI 1285733923
  Medicare reassignment NPD
• Excelsior Springs City Hospital

  dba Excelsior Springs Hospital

  • Critical Access Hospital
  • Excelsior Springs, MO
  • NPI 1609870310
  Medicare reassignment NPD
• Excelsior Springs City Hospital

  dba Excelsior Springs City Hospital Pharmacy

  • Clinic Pharmacy
  • Excelsior Springs, MO
  • NPI 1487754149
  NPD

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1750938320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RAINBOW BLVD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241182",
            "telephone_number": "816-630-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RAINBOW BLVD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241182",
            "telephone_number": "816-630-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "BETHANNE",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019030527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANNE",
            "last_name": "CARPENTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• City of Excelsior Springs (Excelsior Springs Fire Department)
• Jessica Maxine Clevenger, LMSW
• Stacia Conrick, PHARM.D.
• Olivia Marie Cook
• Christopher Cooper, MD
• Holly Nicole Courtney, OTR
• Bianca Coy, OTD
• Trent Scott Craven, DDS
• Andrew Crowther, APRN
• Dallin Josephson DDS LLC

• Family Nurse Practitioner in Excelsior Springs, MO
• Providers in Excelsior Springs, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.