Grace Elizabeth Bethell

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-159728 Issued in AL

Practice address

605 Gandy St NE
Russellville, AL 35653-1911

Phone

(256) 381-6963

NPI assigned

Nov 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Tennessee Valley Pediatric Associatesinc.

  • Pediatrics Physician
  • Tuscumbia, AL
  • NPI 1043323439
  NPD (past)

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1780229476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CENTER POINT LN",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356342012",
            "telephone_number": "901-692-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GANDY ST NE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531911",
            "telephone_number": "256-381-6963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Keller Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscumbia",
            "state": "AL",
            "postal_code": "356741417",
            "country_code": "US",
            "telephone_number": "256-381-6963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331711",
            "country_code": "US",
            "telephone_number": "205-638-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHELL",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-159728",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-159728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear Creek Anesthesia, Inc.
• Benchmark Physical Therapy of Alabama, LLC
• Bonnie L Bendall, CRNP
• Christopher Allen Benson, CRNP
• Marc Edward Berry, M.D.
• Bishop Chiropractic, Inc.
• Michelle Bolton, LPC-S
• Brett Michael Bowen, D.D.S.
• Callie Christiann Bowling, FNP-C
• Kevin Paul Bowling, NP-C

• Nurse Practitioner in Russellville, AL
• Providers in Russellville, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.