PAMELA RENEE BETHEL-WILSON (NPI# 1013404292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013404292 |
| Entity Type | Individual |
| Full Name | PAMELA RENEE BETHEL-WILSON |
| Credential | NP |
| Practice Address |
4055 Valley View Ln Dallas TX 75244-5074 |
| Mailing Address |
580 Magnolia Dr Douglasville GA 30134-6634 |
| Practice Telephone | 9727153800 |
| Mailing Telephone | 4043957401 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN181956 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308544 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4055 VALLEY VIEW LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188640 | Michael L Gregg | Radiology | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2005-07-21 |
| 1023625662 | Signify Health Medical Associates of Colorado, Pllc. | Clinic/Center | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-09-28 |
| 1912512096 | Kaitlin M Keeney | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-09-15 |
| 1093342669 | Sabrina Patrice Butler | Registered Nurse | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-03-24 |
| 1710519442 | Yvonne Ayuk | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-02-11 |
| 1699315622 | Micki L. Hayden | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-01-07 |
| 1093353203 | Virgil Vapona Flint | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-12-18 |
| 1700424207 | Jennisha Uduezue | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-12-16 |
| 1114578937 | Alberto Pedraza | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-09-23 |
| 1578113619 | Kaia Luke | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1407469125 | Ashley Johnson Nakwaasah | Nurse Practitioner | 14650 Landmark Blvd Apt 1508, Dallas, TX 75254-6932 | 2020-08-24 |
| 1881229359 | Laura Karmann | Nurse Practitioner | 1515 S Buckner Blvd Ste 141, Dallas, TX 75217-1794 | 2020-03-05 |
| 1659902120 | Alegntaye Yirdaw | Nurse Practitioner | 2709 S Buckner Blvd, Dallas, TX 75227-6904 | 2020-02-03 |
| 1154964047 | Jessica Maria Scarf | Nurse Practitioner | 13907 Montfort Dr Apt 2031, Dallas, TX 75240-7374 | 2019-10-23 |
| 1447893565 | Mallory Lynn Mcgroarty | Nurse Practitioner | 3500 Oak Lawn Ave Ste 760, Dallas, TX 75219-4308 | 2019-10-21 |
| 1720563539 | Heather Inkman Kinder | Nurse Practitioner | 16619 Vicarage Ct, Dallas, TX 75248-2227 | 2018-09-27 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1922594902 | Susan Markose | Nurse Practitioner | 3310 Anchor Ct, Dallas, TX 75219-2752 | 2018-07-02 |
| Find all providers in DALLAS | ||||
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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.