Betty Besong- Malange, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN173358 Issued in GA

Practice address

200 Medical Village Dr
Edgewood, KY 41017-3408

Phone

(859) 301-2984

Fax

(859) 301-2984

NPI assigned

Feb 16, 2017

Last updated

Nov 27, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/26202/brand/1/csg/1/fhir/r4

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.

• Emergency Group of Columbus, LLC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1316458227
  Medicare reassignment NPD
• Subi Healthcare Services LLC

  • Home Health Agency
  • Duluth, GA
  • NPI 1225767122
  NPD Authorized official
• Louisville Occupational and General Health Services LLC

  dba The Loghs Clinic

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Louisville, KY
  • NPI 1538738000
  NPD

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1851830368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL VILLAGE DRIVE.",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-301-2999",
            "fax_number": "859-301-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173408",
            "telephone_number": "859-301-2984",
            "fax_number": "859-301-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESONG- MALANGE",
        "first_name": "BETTY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "CNP.020534",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "CNP 3011229",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN173358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Bell, APRN
• Katelyn Bell, PHARMD
• Stephen Oswald Bernardon, MD
• Charles M Bernstein, MD
• Christopher Jordan Bertke, OD
• Lucy R Betts, MED
• John D Bever, MD
• Manish S. Bhandari, M.D.
• Lauren Marston Bielawski
• Loran Kimberly Bielewicz, PA

• Family Nurse Practitioner in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.