BETHANY JO KING (NPI# 1053683656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053683656 |
| Entity Type | Individual |
| Full Name | BETHANY JO KING |
| Credential | BACHELOR OF SCIENCE |
| Practice Address |
1320 S Solano Dr Las Cruces NM 88001-3758 |
| Mailing Address |
1320 S. Solano Las Cruces NM 88001-3758 |
| Practice Telephone | 5755277900 |
| Practice Fax Number | 5755714872 |
| Mailing Telephone | 5755277900 |
| Mailing Fax Number | 5755714872 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2014-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 18677037 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234833 | Bethany Ann King | Nurse Practitioner | 10617 N Hayden Rd Ste 102, Scottsdale, AZ 85260-8200 | 2019-06-19 |
| 1497301139 | Bethany King | Nurse Practitioner | 29653 Anchor Cross Blvd, Daphne, AL 36526-9594 | 2019-08-16 |
| 1386033041 | Bethany Jill King | Registered Nurse | 5002 Underwood Ave, Omaha, NE 68132-2236 | 2015-01-20 |
| 1063621449 | Bethany J King | Otolaryngology | 3460 N Ridge Rd Ste 160, Wichita, KS 67205 | 2007-05-22 |
| Street Address |
1320 S SOLANO DR |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689716896 | Sharon C Tariol | Clinical Nurse Specialist | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2007-02-13 |
| 1831709534 | Maria L Brady | Social Worker | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2020-08-06 |
| 1811505670 | Amalia Artiga | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2020-07-17 |
| 1083222855 | Luis Raul Calzada | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2020-07-17 |
| 1932717881 | Kimberly Avina | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2020-07-16 |
| 1417565383 | Julie Molina | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2020-07-16 |
| 1639797111 | Javier G Garcia | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2020-07-10 |
| 1740807064 | Leanne Hancock | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2020-07-02 |
| 1023635745 | Alexis Nichole Villa | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2020-06-29 |
| 1023635737 | Katherine Lorraine Stone | Health Educator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447658398 | Jose Renteria | Case Manager/Care Coordinator | 8957 Mission Ln, Las Cruces, NM 88012-6540 | 2014-12-09 |
| 1003214941 | Rosa Smith | Case Manager/Care Coordinator | 5022 Calle De Ranchero, Las Cruces, NM 88012 | 2014-12-09 |
| 1972901973 | Thomas Scarbrough | Case Manager/Care Coordinator | 2948 Cheyenne Dr, Las Cruces, NM 88011-5257 | 2014-12-08 |
| 1124421920 | Abraham Vasquez | Case Manager/Care Coordinator | 3303 Oak St, Las Cruces, NM 88005-7725 | 2014-10-07 |
| 1649672825 | Joel Corral | Case Manager/Care Coordinator | 1505 Roberts Dr, Las Cruces, NM 88005-3159 | 2014-09-19 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1477973477 | Mary Diane Basler White | Case Manager/Care Coordinator | 1626 E. Las Cruces Ave., Las Cruces, NM 88001 | 2014-04-17 |
| 1376963462 | Nora Garcia | Case Manager/Care Coordinator | 4331 Soda Spring Dr., Las Cruces, NM 88011 | 2014-04-16 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.