BETHANY GRACE AVILA OTTE FNP-C NPI 1194265744

NPI Information

  • NPI: 1194265744
  • Provider Name: BETHANY GRACE AVILA OTTE, FNP-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 152 CONANT ST STE 200
    BEVERLY, MA
    ZIP 01915
  • Phone: (978) 922-2226

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NPI Details

Bethany Grace Avila Otte, FNP-C is a primary care nurse practitioner in Beverly, MA with 9 years of experience. Bethany Grace Avila Otte, FNP-C NPI is 1194265744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

152 CONANT ST STE 200
BEVERLY, MA
ZIP 01915-659
Phone: (978) 922-2226

The NPI 1194265744 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face (HCPCS:64615)

The enumeration date for this NPI number is 3/1/2017 and was last updated on 6/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse95104464CALIFORNIANo
2363LP2300XNurse PractitionerPrimary Care95006063CALIFORNIANo
3363LP2300XNurse PractitionerPrimary CareRN2367980MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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