Angela Dawn Bethune, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-185052 Issued in AL

Practice address

508 County Road 155
Flat Rock, AL 35966-9127

Phone

(352) 636-4193

NPI assigned

May 5, 2006

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 4

Other names 1

• Ms. Angela Dawn Ford Former name

Medicare fee-for-service enrollment

Enrolled in NC, TN, GA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• En LLC

  dba Erlanger Express Care

  • Urgent Care Clinic/Center
  • Ringgold, GA
  • NPI 1548829187
  Medicare reassignment NPD
• En LLC

  dba Erlanger Express Care

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1770075582
  Medicare reassignment NPD
• Fletcher Hospital Inc

  dba AdventHealth Centra Care

  • Family Medicine Physician
  • Arden, NC
  • NPI 1396041075
  NPD
• Adventhealth Primary Care II

  dba Adventhealth Centra Care

  • Family Medicine Physician
  • Arden, NC
  • NPI 1255267076
  NPD (past)
• Central Florida Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1336579572
  NPD (past)
• Complex Health Partners LLC

  • Family Medicine Physician
  • Apopka, FL
  • NPI 1306689666
  NPD (past)
• Florida Hospital Medical Group Inc

  dba Rothman Orthopaedics AdventHealth Medical Group at Minneola

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD (past)
• Lake Internal Medicine Associates

  • Family Nurse Practitioner
  • Eustis, FL
  • NPI 1679595649
  NPD (past)
• Preferred Healthcare PA

  • Primary Care Clinic/Center
  • Eustis, FL
  • NPI 1982652285

  Family

  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1942258272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 COUNTY RD 155",
            "city": "FLAT ROCK",
            "state": "AL",
            "postal_code": "359669127",
            "telephone_number": "352-636-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 COUNTY ROAD 155",
            "city": "FLAT ROCK",
            "state": "AL",
            "postal_code": "359669127",
            "telephone_number": "352-636-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 Airport Road",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "28704",
            "country_code": "US",
            "telephone_number": "828-650-7282 x85065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6982 Nashville St",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307362420",
            "country_code": "US",
            "telephone_number": "706-841-4100",
            "fax_number": "706-760-4943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 State Road 415",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "32771",
            "country_code": "US",
            "telephone_number": "407-322-8645",
            "fax_number": "407-322-8725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHUNE",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP1742912",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-185052",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000485",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN268922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q081665",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "593736126",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82127",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300864900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "FORD",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Prestige Homecare, LLC

• Family Nurse Practitioner in Flat Rock, AL
• Providers in Flat Rock, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.