Individual provider Active NPI

Bethany Kontaxes, MS, CNS, LDN

  • Nutritionist
  • Oil City, PA
National Provider Identifier
1841069374
Registry record updated Dec 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DN008306 Issued in PA
Practice address
1047 Allegheny Ave
Oil City, PA 16301-2670
Phone
(814) 346-1673
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X DN008306 PA
Registered Dietitian 133V00000X DN008306 PA
Nutritionist 133N00000X DN008306 PA Primary

Addresses

Primary practice location

1047 Allegheny Ave
Oil City, PA 16301-2670

Mailing address

458 Hendershot Rd
Kennerdell, PA 16374-5824
Phone (814) 720-6445

Other practice location 1

458 Hendershot Rd
Kennerdell, PA 16374-5824
Phone (814) 346-1673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DN008306PAMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Kontaxes Nutrition, LLC Nutritionist CurrentSince Dec 31, 2023 Accepting new patients

Locations

1047 Allegheny Ave
Oil City, PA 16301
Phone (814) 657-1854

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703894400000",
    "number": "1841069374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 HENDERSHOT RD",
            "city": "KENNERDELL",
            "state": "PA",
            "postal_code": "163745824",
            "telephone_number": "814-720-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 ALLEGHENY AVE",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012670",
            "telephone_number": "814-346-1673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "458 Hendershot Rd",
            "address_purpose": "LOCATION",
            "city": "Kennerdell",
            "state": "PA",
            "postal_code": "163745824",
            "country_code": "US",
            "telephone_number": "814-346-1673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONTAXES",
        "first_name": "BETHANY",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PA",
            "license": "DN008306",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008306",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN008306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oil City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.