BETHANY ANNA FREE (NPI# 1235736778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235736778 |
Entity Type | Individual |
Full Name | BETHANY ANNA FREE |
Credential | FNP- BC |
Practice Address |
1002 E Madison St Houston MS 38851-2428 |
Mailing Address |
129 New Wine Dr Houston MS 38851-2511 |
Practice Telephone | 6625672865 |
Mailing Telephone | 6625672865 |
Enumeration Date | 2020-10-07 |
Last Update Date | 2020-10-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
904095 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1002 E MADISON ST |
City | HOUSTON |
State | MS |
Zip Code | 38851-2428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750383972 | James R. Staten | Surgery | 1002 E Madison St, Houston, MS 38851-2417 | 2005-06-01 |
1013484864 | Meagan Zepeda Hillhouse | Nurse Practitioner | 1002 E Madison St, Houston, MS 38851-2428 | 2018-10-30 |
1780924282 | Hospitalmd of Ms Ip, Inc | Emergency Medicine | 1002 E Madison St, Houston, MS 38851-2428 | 2013-02-20 |
1073853578 | Hospitalmd of Ms, Inc | Emergency Medicine | 1002 E Madison St, Houston, MS 38851-2428 | 2013-02-20 |
1508154501 | Katie Melia Gann | Nurse Practitioner | 1002 E Madison St, Suite 2, Houston, MS 38851-2428 | 2011-07-12 |
1487966750 | Robert David Herring Jr. | Family Medicine | 1002 E Madison St, Houston, MS 38851-2428 | 2010-07-02 |
1942484365 | Southern Health Corp. of Houston, Inc | Nurse Anesthetist, Certified Registered | 1002 E Madison St, Houston, MS 38851-2417 | 2007-12-20 |
1003096488 | Southern Health Corp. of Houston, Inc. | Clinic/Center | 1002 E Madison St, Houston, MS 38851-2417 | 2007-11-14 |
1174745947 | Victor Horn | Nurse Practitioner | 1002 E Madison St, Ste 2, Houston, MS 38851-2417 | 2007-05-02 |
1295958155 | Madison East Internal Medicine LLC | Specialist | 1002 E Madison St, Houston, MS 38851-2417 | 2007-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144742073 | Natalie Mitchell | Social Worker | 102 Okolona Cutoff Rd, Houston, MS 38851 | 2017-07-12 |
1073041042 | Jan Sherlene Paden | Nurse Practitioner | 8 East Madison St, Houston, MS 38851 | 2017-06-02 |
1851772818 | Shell Denece Williams-moore | Religious Nonmedical Practitioner | 901 North Jackson Street, Houston, MS 38851 | 2015-06-16 |
1740385491 | Southern Health Corp of Houston Inc | Skilled Nursing Facility | 1000 East Madison, Houston, MS 38851 | 2006-09-14 |
1730281809 | Teena Freeman Horn | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-09-01 |
1891776530 | Kunthavai S. Patel | Specialist | 208 Country Club Road, Houston, MS 38851 | 2005-11-09 |
1255467726 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | Hwy 8 East, Houston, MS 38851 | 2007-02-26 |
1689753485 | Southern Health Corp of Houston Inc | Psychiatric Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
1306925102 | Southern Health Corp of Houston Inc | Medicare Defined Swing Bed Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
1134212038 | Chickasaw Dental Group L. L. C. | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-10-02 |
Find all providers in zip 38851 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
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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.