Individual provider Active NPI

Bethany Williams, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marshalltown, IA
National Provider Identifier
1851029102
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G168072 Issued in IA
Practice address
101 Iowa Ave W
Marshalltown, IA 50158-4768
Phone
(641) 754-6700
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G168072 IA Primary

Addresses

Primary practice location

101 Iowa Ave W
Marshalltown, IA 50158-4768

Mailing address

314 W Broadway St
Colfax, IA 50054-1407
Phone (515) 444-6337

Other practice location 1

314 W Broadway St
Colfax, IA 50054-1407
Phone (515) 444-6337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bethany.williams@va.gov Department of Veteran's Affairs

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

State licenses

LicenseStateTypeSpecialty
G168072IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Memorial Hospital Commission Past Accepting new patients

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1851029102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W BROADWAY ST",
            "city": "COLFAX",
            "state": "IA",
            "postal_code": "500541407",
            "telephone_number": "515-444-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 IOWA AVE W",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584768",
            "telephone_number": "641-754-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "IA",
            "postal_code": "500541407",
            "country_code": "US",
            "telephone_number": "515-444-6337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BETHANY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G168072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethany.williams@va.gov",
            "affiliation": "Y",
            "affiliationName": "Department of Veteran's Affairs",
            "address_1": "314 W Broadway St",
            "city": "Colfax",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500541407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.