Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Bethany Joy Tillema, PA-C

Physician Assistant in Holland, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417920331

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Registry record

Entity type Individual (Type 1)

Name Mrs. Bethany Joy Tillema

Credential PA-C

Sex Female

Practice address 588 E Lakewood Blvd, Holland, MI, 49424

Phone (616) 267-8860

Fax (616) 267-8442

Enumeration date Feb 10, 2006

Last updated in NPPES Nov 2, 2026

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601008127 (MI) Primary

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2601000292 (MI) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1417920331 active?

Yes, as of the latest NPPES snapshot, NPI 1417920331 is active (record last updated 2026-11-02).

How do I verify Bethany Tillema's NPI record?

Cross-check NPI 1417920331 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-11-02.