MRS. BETHANY DEREA CHEATHAM


Address: 4425 E Agave Rd, #148, Phoenix, AZ 85044-0619
Phone: 4807047546

MRS. BETHANY DEREA CHEATHAM (NPI# 1457757585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457757585
Entity Type Individual
Full Name MRS. BETHANY DEREA CHEATHAM
Credential NP-C
Practice Address 4425 E Agave Rd
#148
Phoenix
AZ 85044-0619
Practice Telephone 4807047546
Mailing Telephone 4807047546
Enumeration Date 2014-11-17
Last Update Date 2016-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F1114254 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4425 E AGAVE RD
#148
City PHOENIX
State AZ
Zip Code 85044-0619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356307300 Harriet J Smith Psychologist 4425 E Agave Rd, #140, Phoenix, AZ 85044 2006-04-26
1841837051 Cameron Call Chiropractor 4425 E Agave Rd, Ste 104, Phoenix, AZ 85044-0620 2019-12-06
1528432630 Eric Matthew Dodson Chiropractor 4425 E Agave Rd, 150, Phoenix, AZ 85044-0619 2015-12-01
1801274600 Mark Weaver Physician Assistant 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 2015-05-12
1437435658 Inmotion Health & Wellness, LLC Chiropractor 4425 E Agave Rd, Suite 150, Phoenix, AZ 85044-0619 2011-11-02
1407167596 Ahwatukee Skin & Laser LLC Dermatology 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 2010-06-23
1053633396 Veronica Alexander Counselor 4425 E Agave Rd, Suite 140 Building 7, Phoenix, AZ 85044-0619 2010-02-26
1083883714 Karen Gage Marriage & Family Therapist 4425 E Agave Rd, Suite 116, Phoenix, AZ 85044-0619 2008-02-27
1487781092 Sarah E Neumann Physician Assistant 4425 E Agave Rd, 148, Phoenix, AZ 85044-0619 2007-02-28
1619012630 Jereen Maria Goldstein Counselor 4425 E Agave Rd, Phoenix, AZ 85044-0619 2007-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023637345 Jamie Roshun Dawson Contractor 13229 S 48th St Apt 3051, Phoenix, AZ 85044 2020-04-16
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1487217584 Vitae Felix Psychologist 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 2019-04-16
1578082392 Karena Janiece Herron Nurse Practitioner 13625 S 48th St Apt 2100, Phoenix, AZ 85044 2017-09-13
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1518402593 Janet Swift Counselor 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 2016-12-29
1588074876 Suzanne Morris Nurse Practitioner 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 2014-05-07
1891117974 Dr. Cameron Khavari Pllc Chiropractor 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 2014-01-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85044

Improve Information

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Dataset Information

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.

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