Shirley Darlene Betts-Hollins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN175100 Issued in OH

Practice address

539 Edgewood Dr
Newark, OH 43055-3762

Phone

(740) 915-7405

Fax

(740) 915-7405

NPI assigned

Apr 13, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1871235341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 EDGEWOOD DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553762",
            "telephone_number": "740-915-7405",
            "fax_number": "740-915-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 EDGEWOOD DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553762",
            "telephone_number": "740-915-7405",
            "fax_number": "740-915-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS-HOLLINS",
        "first_name": "SHIRLEY",
        "middle_name": "DARLENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN175100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makaelah Shea Bering
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• Heather Jo Berry
• Pamela Sue Berry, O.T.R.
• Brittany N Bertolotti
• Prasanna Bhandari
• Bi Morrice MD & Da Heldman MD Inc
• Julie A Bice, PTA
• Judith Ann Bickmeyer, MSW
• Chloe Morgan Billings, RBT

• Registered Nurse in Newark, OH
• Providers in Newark, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.