MRS. BETHANY RANDOLPH HOGAN (NPI# 1326487752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326487752 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY RANDOLPH HOGAN |
| Credential | APN-FNP |
| Practice Address |
119 Whitewater Drive Bradley Polk Walk In Clinic and Medical Center Ocoee TN 37361 |
| Mailing Address |
119 Whitewater Dr. Bradley Polk Walk In Clinic and Medical Center Ocoee TN 37361 |
| Practice Telephone | 4232999435 |
| Practice Fax Number | 4232999436 |
| Mailing Telephone | 4232999435 |
| Mailing Fax Number | 4232999436 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2015-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17711 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104904580 | Bethany Kaye Hogan | Occupational Therapist | 3480 Burrwood Dr, Richfield, OH 44286-9676 | 2006-11-01 |
| 1760928691 | Bethany Hogan | Student in an Organized Health Care Education/Training Program | 31 E Montauk Hwy, Hampton Bays, NY 11946-1816 | 2017-01-17 |
| Street Address |
119 WHITEWATER DRIVE BRADLEY POLK WALK IN CLINIC AND MEDICAL CENTER |
| City | OCOEE |
| State | TN |
| Zip Code | 37361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174921001 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 119 Whitewater Drive, Ocoee, TN 37361 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740673235 | Ocoee Pharmacy, Inc | Pharmacy | 186 Creekside Dr, Ocoee, TN 37361 | 2015-03-09 |
| 1376947085 | Dora D. Trivette | Nurse Practitioner | 2020 Keith Street Nw, Suite C, Cleveland, TN 37361 | 2014-10-09 |
| 1326055591 | Preferred Oxygen LLC | Durable Medical Equipment & Medical Supplies | 134 Creekside Dr., Suite #2, Ocoee, TN 37361 | 2006-08-01 |
| 1952754707 | Samuel Randolph | Pharmacist | 186 Creekside Dr, Ocoee, TN 37361 | 2016-07-18 |
| 1568645091 | David D Darden | Preventive Medicine | 1680 Sand Mountain Road, Ocoee, TN 37361-0335 | 2007-12-06 |
| 1912283458 | Karen Milen | Nurse Practitioner | 400 Blackberry Ln, Ocoee, TN 37361-3456 | 2011-10-28 |
| 1114310224 | Cooke Food Store Inc | Pharmacy | 116 White Water Dr, Ocoee, TN 37361-3644 | 2015-03-13 |
| 1760875686 | Thad Huff | Pharmacist | 116 White Water Dr, Ocoee, TN 37361-3644 | 2015-03-17 |
| 1770929333 | Bradley Polk Walk In Clinic | Internal Medicine | 119 White Water Dr, Ocoee, TN 37361-3645 | 2013-05-21 |
| 1316546492 | Amanda Brooke Davis | Nurse Practitioner | 119 White Water Dr, Ocoee, TN 37361-3645 | 2020-10-20 |
| Find all providers in zip 37361 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159513 | Chris Narsesian | Nurse Practitioner | 10956 W Colonial Dr, Ocoee, FL 34761-2979 | 2019-11-19 |
| 1437674553 | Cherlie Deneus | Nurse Practitioner | 2766 Tall Maple Loop, Ocoee, FL 34761-7622 | 2017-08-09 |
| 1316488240 | Yvanne Belanston | Nurse Practitioner | 1204 Vizcaya Lakes Rd, Apt. # 203, Ocoee, FL 34761-6965 | 2017-03-10 |
| 1316489669 | Brandon Raye Tucker | Nurse Practitioner | 250 White Dogwood Ln, Ocoee, FL 34761-4878 | 2016-11-17 |
| 1740527852 | Regina Shanese Scott | Nurse Practitioner | 1151 Blackwood Ave Ste 150, Ocoee, FL 34761-4523 | 2013-01-09 |
| 1063761203 | Minedy Laracuente | Nurse Practitioner | 1134 Kelton Ave Ste B, Ocoee, FL 34761-3100 | 2012-09-04 |
| 1912283458 | Karen Milen | Nurse Practitioner | 400 Blackberry Ln, Ocoee, TN 37361-3456 | 2011-10-28 |
| 1396914784 | Lorriel Sirena Blaise | Nurse Practitioner | 2723 Maguire Rd, Ocoee, FL 34761-4797 | 2008-02-29 |
| 1407454135 | Krista Parsons | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3499 | 2020-10-14 |
| 1528603990 | Melissa Christin Bosser | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2019-11-08 |
| Find all providers in OCOEE | ||||
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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.