Nicole Leigh Bettis, ED.S., LMFT, RPT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1397 Issued in NC

Practice address

8201 Emerald Dr
Emerald Isle, NC 28594-2746

Phone

(252) 675-5550

Fax

(252) 631-0717

NPI assigned

May 28, 2010

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole McClure Milano Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicolebettis@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
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  • NPI 1245403567

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1821317934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 CANAL DR",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285943007",
            "telephone_number": "252-675-5550",
            "fax_number": "252-631-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 EMERALD DR",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942746",
            "telephone_number": "252-675-5550",
            "fax_number": "252-631-0717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Middle St Ste 107B",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285602112",
            "country_code": "US",
            "telephone_number": "252-639-0113",
            "fax_number": "252-649-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTIS",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "ED.S., LMFT, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105322",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MILANO",
            "middle_name": "MCCLURE",
            "credential": "ED.S., LMFTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nishan Barnhill, PHARMD
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• Marriage & Family Therapist in Emerald Isle, NC
• Providers in Emerald Isle, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.