Bethsaida Lopez Gillum, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP 9281898 Issued in FL

Practice address

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402

Phone

(850) 325-5000

NPI assigned

Sep 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bethsaida Jean Lopez Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Neurology Specialists PLGroup PAC ID 7911199971, 17 clinicians

Hospital Physician Services of Florida PAGroup PAC ID 7012201965, 212 clinicians

Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
• Direct secure messaging: bethsaida.gillum.1@21684.direct.athenahealth.com

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.

• Hospital Physician Services of Florida PA

  • Hospitalist Physician
  • Pensacola, FL
  • NPI 1558718635

  FL, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650

  FL, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Tallahassee Neurology Specialists, P.L.

  • Multi-Specialty Clinic/Center
  • Tallahassee, FL
  • NPI 1326357005

  FL

  Medicare reassignment Care Compare group NPD
• Calhoun-Liberty Hospital Association Inc

  • Emergency Care Clinic/Center
  • Blountstown, FL
  • NPI 1649596784

  FL

  Medicare reassignment NPD
• Doctors Memorial Hospital Inc

  • Surgery Physician
  • Perry, FL
  • NPI 1285709451

  FL

  Medicare reassignment NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180

  FL

  Medicare reassignment NPD
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857

  FL

  Medicare reassignment NPD
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1013675016

  FL, Nurse Practitioner

  Medicare reassignment NPD
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664

  FL

  Medicare reassignment NPD
• Advanced Health Practice Solutions Inc

  • Nurse Practitioner
  • Perry, FL
  • NPI 1881464683
  NPD Authorized official
• Tallahassee Neurology Specialists PL

  • Durable Medical Equipment & Medical Supplies
  • Panama City, FL
  • NPI 1306631627
  Care Compare group NPD
• Deerfield Beach Physician Services, LLC

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1366100364

  FL

  Medicare reassignment

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1902189376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 LAKESHORE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121487",
            "telephone_number": "850-728-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084402",
            "telephone_number": "850-325-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084646",
            "country_code": "US",
            "telephone_number": "850-216-0100",
            "fax_number": "850-216-0180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLUM",
        "first_name": "BETHSAIDA",
        "middle_name": "LOPEZ",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2022-10-10",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9281898",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9281898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041333300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHSAIDA",
            "last_name": "LOPEZ",
            "middle_name": "JEAN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Benjamin Gilleland, M.D.
• Spencer Elwood Gilleon, M.D.
• Donna L. Gillette, LMHC AND CLINICAL SP
• Dominique Mercedes Gillings
• Donovan Gillis, COTA
• Christina Gillyard-Williams
• Charmaine Gillian Gilmore, DNP,ARNP, FNP-C
• Destiny Shae Gilpin, OTR/L
• Paul M Gilreath, MD
• Ginger Drive Health Care Associates LLC

• All providers in Tallahassee, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.