TINA ANN BETANCOURT (NPI# 1578850657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578850657 |
| Entity Type | Individual |
| Full Name | TINA ANN BETANCOURT |
| Practice Address |
3940 Arrowhead Blvd Mebane NC 27302-7636 |
| Practice Telephone | 9195687305 |
| Practice Fax Number | 9195687399 |
| Mailing Telephone | 9195687305 |
| Mailing Fax Number | 9195687399 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 280748 | NC | Nursing Service Providers |
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
711718 | TX | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5008228 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN711718 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3940 ARROWHEAD BLVD |
| City | MEBANE |
| State | NC |
| Zip Code | 27302-7636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923182 | Richard E. Cooper | Surgery | 3940 Arrowhead Blvd, Suite 230, Mebane, NC 27302-7636 | 2005-06-24 |
| 1760787261 | Private Diagnostic Clinic, Pllc. | Surgery | 3940 Arrowhead Blvd, Mebane, NC 27302-7636 | 2011-01-14 |
| 1093017154 | Armc Physicians Care, Inc | Family Medicine | 3940 Arrowhead Blvd, Suite 225, Mebane, NC 27302-7637 | 2010-11-23 |
| 1053628800 | Alamance Regional Medical Center, Inc. | Clinic/Center | 3940 Arrowhead Blvd, Mebane, NC 27302-7636 | 2010-08-31 |
| 1619208345 | Central Carolina Skin & Dermatology Center Pa | Specialist | 3940 Arrowhead Blvd, Ste 210, Mebane, NC 27302-7636 | 2010-01-20 |
| 1023341799 | Laura Shepanski | Nurse Practitioner | 3940 Arrowhead Blvd, Suite 150, Mebane, NC 27302-7636 | 2009-09-14 |
| 1184801565 | Mebane Asc Investors LLC | Clinic/Center | 3940 Arrowhead Blvd, Mebane, NC 27302 | 2008-01-28 |
| 1629199385 | Eliza Hueda | Pediatrics | 3940 Arrowhead Blvd, Building A Suite 210, Mebane, NC 27302-7636 | 2007-04-02 |
| 1649289836 | Darren Wohl | Internal Medicine | 3940 Arrowhead Blvd, Suite 230, Mebane, NC 27302-7636 | 2006-08-05 |
| 1720006547 | Ralph L Ely IIi | Surgery | 3940 Arrowhead Blvd, Suite 230, Mebane, NC 27302-7636 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389117 | Heather Shelton | Speech-Language Pathologist | 2502 S Nc 119, Mebane, NC 27302 | 2018-09-13 |
| 1538653514 | I.c.a.r.e. Counseling Services, Pllc | Counselor | 106 S Fourth St Ste A, Mebane, NC 27302 | 2018-06-21 |
| 1558860858 | Ridge Care Inc | Custodial Care Facility | 1999 South Highway 119 S, Mebane, NC 27302 | 2018-02-02 |
| 1619496767 | Lindsay Elizabeth Grobman | Physical Therapist | 412 Tighfield Dr, Mebane, NC 27302 | 2017-09-10 |
| 1760911689 | Lane and Associates Xxxi, Dds, Pa | Dentist | 1242 S Fifth St, Mebane, NC 27302 | 2017-06-05 |
| 1386042554 | Alamance Manor Assisted Living LLC | Custodial Care Facility | 1999 South Highway 150, Mebane, NC 27302 | 2014-12-19 |
| 1467850883 | Hope's Highway, Pllc | Social Worker | 105 East Center St., Suite B9, Mebane, NC 27302 | 2014-12-17 |
| 1841639341 | Blankenship Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6207 Paylor Street, Mebane, NC 27302 | 2013-06-18 |
| 1346689171 | Champion Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 507 Blue Lake Drive, Mebane, NC 27302 | 2013-06-14 |
| 1306284195 | Falcon Crest Residential Care | Community/Behavioral Health | 2094 Haith-fuller Trail, Mebane, NC 27302 | 2013-06-13 |
| Find all providers in zip 27302 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760090161 | Teresa Jones Clapp | Nurse Practitioner | 727 N Wilba Rd, Mebane, NC 27302-2127 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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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.