BETHANY MICHELE EDGEWORTH (NPI# 1962955195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962955195 |
| Entity Type | Individual |
| Full Name | BETHANY MICHELE EDGEWORTH |
| Other Name | BETHANY MICHELE HOLDEN |
| Credential | CRNP |
| Practice Address |
1801 Gadsden Hwy Birmingham AL 35235-3134 |
| Practice Telephone | 2058383900 |
| Practice Fax Number | 2058383906 |
| Mailing Telephone | 2058383900 |
| Mailing Fax Number | 2058383906 |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2016-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-125989 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1801 GADSDEN HWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225001449 | Gene Lee Watterson Jr. | Internal Medicine | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2006-02-08 |
| 1487251559 | Reagan Kaiser | Physical Therapist | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2020-10-02 |
| 1922503234 | Frances Barbara Barnes | Nurse Practitioner | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2018-03-28 |
| 1710412093 | Laura Jane Fromme | Physician Assistant | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2017-04-25 |
| 1730636564 | Brett David Yancey | Nurse Practitioner | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2016-09-09 |
| 1972983203 | Stevon Hunter Boyett | Physical Medicine & Rehabilitation | 1801 Gadsden Hwy, Birmingham, AL 35235 | 2015-06-02 |
| 1871980953 | Eduardo J Otero-loperena | Physical Medicine & Rehabilitation | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2015-04-16 |
| 1861887804 | Lucie Elisabeth Mitchell | Physical Medicine & Rehabilitation | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2015-04-06 |
| 1063823094 | Patrick Peavy | Orthopaedic Surgery | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2014-05-13 |
| 1962847335 | Alabama Orthopedic, Spine & Sports Medicine Associates | Pharmacy | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2013-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664788 | Sarah Elizabeth Baumgarten | Nurse Practitioner | 127 E Hawthorne Rd, Birmingham, AL 35209-3958 | 2020-09-21 |
| 1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
| 1609400621 | Vanessa Jones | Nurse Practitioner | 204 Vancouver Ct, Birmingham, AL 35211-6929 | 2020-02-28 |
| 1205472297 | Dilja Selcanin | Nurse Practitioner | 2237 Pembroke Rd, Birmingham, MI 48009-7507 | 2019-11-25 |
| 1427693480 | Alexandra Obarr Roussel | Nurse Practitioner | 1714 9th Ave S # Lrc300, Birmingham, AL 35205-3606 | 2019-11-14 |
| 1215582945 | Lauren Wall Maynard | Nurse Practitioner | 2145 Highland Ave S Ste 200, Birmingham, AL 35205-4015 | 2019-08-08 |
| 1295393502 | Deborah Ann Bowers | Nurse Practitioner | 1308 26th Ave N, Birmingham, AL 35204-1118 | 2019-06-01 |
| 1376019315 | Juyoung Jackson | Nurse Practitioner | 513 Brookwood Blvd Ste 500, Birmingham, AL 35209-7817 | 2018-10-17 |
| 1265908313 | Katie Fortenberry Miller | Nurse Practitioner | 833 Princeton Ave Sw Bldg IIi, Birmingham, AL 35211-1323 | 2018-10-16 |
| 1083180319 | Tiffany Monique Thomas | Nurse Practitioner | 2142 Sandlin Rd, Birmingham, AL 35235-2031 | 2018-10-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
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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.