Active NPI
Bethany Upton, RN
- Registered Nurse
- Brockton, MA
National Provider Identifier
1881824035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2259889
- Practice address
- 1115 W Chestnut St
Brockton, MA 02301-7501 - Phone
- (508) 559-0473
- NPI assigned
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2259889 | MA | Primary |
Addresses
Primary practice location
1115 W Chestnut St
Brockton, MA 02301-7501
Mailing address
56 Halsey Ave
Wellesley, MA 02482-4445
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2259889 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1881824035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 HALSEY AVE",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024824445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 W CHESTNUT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023017501",
"telephone_number": "508-559-0473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPTON",
"first_name": "BETHANY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2259889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
- Unlimited Behavioral Health Services
- Unlimited Behavioral Health Services of Massachusetts, LLC
- Unlimited Behavioral Health Services of Massachusetts, LLC (Unlimited Behavioral Health Services)
- Uplift Adult Daycare LLC
- Uplift Behavioral Health Services LLC
- Urban Home Health Services Inc
- Bryan Urday
- Urgent Care Medical Associates of Massachusetts, LLC
- Urgent Care of Brockton, LLC
- Laura Ann Uribe, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.