Beth Mobley Self, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-097451 Issued in AL

Practice address

300 Medical Center Dr
Gadsden, AL 35903-1157

Phone

(256) 492-2663

Fax

(256) 492-8620

NPI assigned

Aug 18, 2008

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

Enrolled in AL

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Orthopedic CentersGroup PAC ID 2466430004, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Orthopedic Centers

  • Orthopaedic Surgery Physician
  • Rainbow City, AL
  • NPI 1043262124

  AL, Nurse Practitioner

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - Gadsden LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1992103857

  Hospital

  Care Compare affiliation
• Prime Healthcare Services Gadsden LLC

  • Radiology Clinic/Center
  • Gadsden, AL
  • NPI 1801294764

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1962658385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031157",
            "telephone_number": "256-492-2663",
            "fax_number": "256-492-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031157",
            "telephone_number": "256-492-2663",
            "fax_number": "256-492-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "BETH",
        "middle_name": "MOBLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-097451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Duncan Scott IV, M.D.
• SDS Preferred Home Care Agency
• Lynden Seals, BCBA
• Clinton Segrest, P.T.
• Virginia Seibels, LPC
• Ashvini Sengar, M.D.
• Sheral B. Serafini, M.S.P.T.
• Angela Sewell, MS, ALC
• Erica Farr Sewell
• Mary-Lynn Maddox Shadix, DMD

• All providers in Gadsden, AL
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.