IndividualActive
Bethany Lee, MA, LADC
NPI 1629934898 · Student in an Organized Health Care Education/Training Program · Plymouth, MN
Provider details
- NPI number
- 1629934898
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MA, LADC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11505 36th Ave N
Plymouth, MN 55441-2304
Phone: (763) 509-3838
Street-level locationGet directions
Mailing address
15330 18th Ave N Apt 907
Plymouth, MN 55447-2468
Registry dates
- Enumerated
- 2025-12-31
- Last updated
- 2025-12-31
- Certified
- 2025-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.