BETHANY K FAST (NPI# 1629599873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629599873 |
| Entity Type | Individual |
| Full Name | BETHANY K FAST |
| Credential | FNP-C, PMHNP-BC |
| Practice Address |
815 S Ash St Nevada MO 64772-3222 |
| Mailing Address |
8557 S 3000 Rd Schell City MO 64783-8165 |
| Practice Telephone | 4176678352 |
| Practice Fax Number | 4176679216 |
| Mailing Telephone | 4173214233 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06171293 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2019027475 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1629599873 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 706 S High St, Butler, MO 647301833 | 6602007135 | |
| 306 S Independence St, Harrisonville, MO 647012352 | 8163804010 | 8168873703 |
| Street Address |
815 S ASH ST |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831170034 | Jerry A Morris Jr. | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2005-11-07 |
| 1093324048 | Amanda Tompkins | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2020-07-27 |
| 1134637937 | Marissa Opal Moore | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2018-01-15 |
| 1528579976 | Cindy Layne Brannan | Registered Nurse | 815 S Ash St, Nevada, MO 64772-3222 | 2017-10-12 |
| 1689194003 | Elizabeth Penick | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2017-06-27 |
| 1558819458 | Katherine Hogsett | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2016-09-20 |
| 1528417581 | Community Mental Health Consultants | Clinic/Center | 815 S Ash St, Nevada, MO 64772-3222 | 2016-06-09 |
| 1073904660 | Maria Wylde-veit | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2015-02-18 |
| 1417386426 | Jeremy David Turk | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2013-11-11 |
| 1023203072 | Chris F Thomas | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316594559 | Renee Sydney Pendleton | Nurse Practitioner | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-08-22 |
| 1760473151 | Doris A Mcmahon | Nurse Practitioner | 800 S Ash St, Nevada, MO 64772-3223 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
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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.