Active NPI
Bethany Erin Ford, PA-C
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1790457919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11799
- Practice address
- 6601 W Thomas Rd
Phoenix, AZ 85033-5700 - Phone
- (602) 243-7277
- NPI assigned
- Oct 5, 2021
- Last updated
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11799 | AZ | Primary |
| Physician Assistant | 363A00000X | PA2023-0227 | NM |
Addresses
Primary practice location
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Mailing address
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Phone (602) 243-7277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6801 Jefferson St NE
Suite 350
Albuquerque, NM 87109-4361
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Gynecology Physician
- Albuquerque, NM
- NPI 1427357920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1790457919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850335700",
"telephone_number": "602-243-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850335700",
"telephone_number": "602-243-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "BETHANY",
"middle_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "11799",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2023-0227",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.