Active NPI
Bethany Health Services
- Psychiatric/Mental Health Nurse Practitioner
- West Lebanon, NH
National Provider Identifier
1780208686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BETHANY HEALTH SERVICES
- Practice address
- 10 Benning St Ste 160 #208
West Lebanon, NH 03784-3402 - Phone
- (603) 601-4766
- Fax
- (603) 506-6362
- NPI assigned
- Jun 5, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Vannessa Davis, DNP, APRN
- Title
- NP
- Phone
- (603) 601-4766
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 4
-
Vannessa Davis, DNP, FNP, PMHNP-BC
-
Esther Enoh, RN
-
Elizabeth Sherman, APRN
-
Amanda Lee Wood-Friend, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220518001552 | NH | Part B Supplier - Clinic/Group Practice | 9032596796 |
Receives reassigned benefits from 4 practitioners Practice locations: Salem, NH |
National Provider Directory
Locations
23 Stiles Rd
Ste 210
Salem, NH 03079
Phone (603) 601-4766
10 Benning St
Ste 160
West Lebanon, NH 03784
Phone (603) 601-4766
Specialties & licenses 5
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | |||
| Clinic/Center | 261Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10 Benning St Ste 160 #208
West Lebanon, NH 03784-3402
Mailing address
10 Benning St Ste 160
West Lebanon, NH 03784-3402
Phone (603) 601-4766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2021.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1780208686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BENNING ST STE 160",
"city": "WEST LEBANON",
"state": "NH",
"postal_code": "037843402",
"telephone_number": "603-601-4766",
"fax_number": "603-506-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BENNING ST STE 160 #208",
"city": "WEST LEBANON",
"state": "NH",
"postal_code": "037843402",
"telephone_number": "603-601-4766",
"fax_number": "603-506-6362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-05",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "VANNESSA",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "603-601-4766",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, APRN"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.