Active NPI
Kristina Jo Bethel, D.O.
- Emergency Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- T-2507
- Practice address
- 2500 N State St
University of Mississippi Medical Center
Jackson, MS 39216-4505 - Phone
- (601) 984-5582
- NPI assigned
- Jul 14, 2011
- Last updated
- Jun 29, 2016
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | T-2507 | MS | Primary |
Addresses
Primary practice location
2500 N State St
University of Mississippi Medical Center
Jackson, MS 39216-4505
Mailing address
105 Concord PL
Madison, MS 39110-7541
Phone (305) 978-9769
Other names 1
- Kristina Jo Sikes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (781) 280-1640
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.65 of 100
- Quality
- 78.55
- Improvement activities
- 40
- Cost
- 74.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-2507 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergi-Trust | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TN, PC | Emergency Medicine | Current | Accepting new patients |
Locations
111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357
4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253
200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Franklin, TN
- NPI 1497725873
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1720785884
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Williamson Medical Center
- General Acute Care Hospital
- Franklin, TN
- NPI 1265445506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1962790709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CONCORD PL",
"city": "MADISON",
"state": "MS",
"postal_code": "391107541",
"telephone_number": "305-978-9769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164505",
"telephone_number": "601-984-5582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHEL",
"first_name": "KRISTINA",
"middle_name": "JO",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "T-2507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "SIKES",
"middle_name": "JO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jackson, MS
- Best Outcomes Therapeutic Services, LLC
- Janaya Bester
- Bethany Christian Services
- Douglas Bethea, DO
- John W Bethea Jr., MD
- Better Care Home Therapy, LLC
- Better Community Community Counseling Healthcare LLC
- Better Homecare LLC
- Beverly Hospice Ministries Inc (Hospice Care at Home)
- Kristen M. Bevill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.