Bethany Countryman, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA0000500621 Issued in TX

Practice address

458 Town SQ
Copperas Cove, TX 76522-2826

Phone

(254) 553-5801

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1942892971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 TOWN SQ",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 TOWN SQ",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222826",
            "telephone_number": "254-553-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNTRYMAN",
        "first_name": "BETHANY",
        "name_prefix": "Miss",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA0000500621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Copperas Cove Dentist, PC
• Copperas Cove Dentistry and Orthodontics PLLC (Cove Total Dental and Orthodontics)
• Copperas Cove Dentistry and Orthodontics PLLC (Cove Total Dentistry and Orthodontics)
• Copperas Cove Isd
• Stephanie Ann Correa
• Cove Choice Dental
• Cove Eye Associates PA (VIEW Cove)
• Cove Family Healthcare
• Cove Freedom Chiropractic
• Cove Medical Clinic PA

• Nurse's Aide in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Nurse's Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.