- Practice location
- 8116 Good Luck RD, Ste 210, Lanham, MD 20706-3502
- Phone
- 240-965-4406
- Fax
- 866-447-6687
- Last updated
- March 1, 2017
Shantelle M Bethea is a Dietitian, Registered based in Lanham, MD. Shantelle M Bethea practices in Lanham, MD and has the professional credentials of RDN. The NPI Number for Shantelle M Bethea is 1548629850 and holds a License No. DI100000448 (DC). The current practice location address for Shantelle M Bethea is 8116 Good Luck RD, Ste 210, Lanham, MD 20706-3502 and can be reached out via phone at 240-965-4406 and via fax at 866-447-6687.
Provider Profile Details
- NPI Number
- 1548629850
- Provider Name
- Shantelle M Bethea
- Credential
- RDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8116 Good Luck RD, Ste 210, Lanham, MD 20706-3502
- Phone Number
- 240-965-4406
- Fax Number
- 866-447-6687
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 15, 2016
- Last Update Date
- March 1, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8116 Good Luck RD
Ste 210
Lanham, MD 20706-3502 - City
- Lanham
- State
- Maryland
- Zip
- 20706-3502
- Phone Number
- 240-965-4406
- Fax Number
- 866-447-6687
Provider Business Mailing Address Details
- Address
- Po Box 418056
Boston, MA 02241-8056 - City
- Boston
- State
- MA
- Zip
- 02241-8056
- Phone Number
- 204-965-4406
License Information
- License Number (1)
- DI100000448
- License State (1)
- DC
- Taxonomy (1)
- Dietitian, Registered · 133V00000X · Primary
- License Number (2)
- DX3601
- License State (2)
- MD
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shantelle M Bethea, RDN?
The NPI number of Shantelle M Bethea, RDN is 1548629850. It was assigned on February 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Shantelle M Bethea, RDN?
Shantelle M Bethea, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in DC under license number DI100000448.
Where does Shantelle M Bethea, RDN practice?
The practice location is 8116 Good Luck RD, Ste 210, Lanham, MD 20706-3502. The office can be reached at 240-965-4406 (phone) or 866-447-6687 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548629850 directly on the NPPES registry website.