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BETHANY DUBOIS
NPI 1053105015
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since April 07, 2025PECOS Enrolled
101 DUDLEY ST, PROVIDENCE, RI 02905(203) 417-0471 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bethany Dubois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY DUBOIS (NPI 1053105015) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053105015
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBETHANY DUBOIS
Location Address101 DUDLEY STProvidence, RI 02905-2401
Mailing Address101 Dudley StProvidence, RI 02905-2401 · (203) 417-0471
Phone(203) 417-0471
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 6, 2025
✔ NPI 1053105015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

101 DUDLEY ST, Providence, RI 02905
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Dubois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER DONALD PALMER DO
Internal Medicine
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BRITTANY S HAMPTON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEIDI FANION LCSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
MS. LINDA BEETLESTONE MS
Genetic Counselor, MS
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-7515
JULIE ANNA KNUTSON RN, CNM
Advanced Practice Midwife
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BETHANY DAWSON LICSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEATHER A SMITH MD, MPH
Obstetrics & Gynecology (Obstetrics)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
NADINE C KASSIS MD
Obstetrics & Gynecology
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Dubois's NPI number?

The NPI number for Bethany Dubois is 1053105015. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Bethany Dubois located?

Bethany Dubois practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (203) 417-0471.

What is Bethany Dubois's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bethany Dubois enrolled in Medicare?

Yes. Bethany Dubois is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bethany Dubois was last updated on April 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.