Active NPI
Beverly Ann Jarrett, ARNP, CNM
- Advanced Practice Midwife
- Rockville, MD
National Provider Identifier
1023099827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW010133
- Practice address
- 11921 Rockville Pike
Suite 400
Rockville, MD 20852-2737 - Phone
- (301) 414-2300
- Fax
- (301) 414-2306
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | ARNP1205642 | FL | |
| Advanced Practice Midwife | 367A00000X | MW010133 | PA | Primary |
| Registered Nurse | 163W00000X | RN 197292-L | PA | |
| Advanced Practice Midwife | 367A00000X | R204958 | MD |
Addresses
Primary practice location
11921 Rockville Pike
Suite 400
Rockville, MD 20852-2737
Mailing address
26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892
Phone (301) 414-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033593200 | Medicaid | FL |
Other names 1
- Ms. Beverly Ann Otto
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 197292-L | PA | MD | Registered Nurse |
| ARNP1205642 | FL | MD | Advanced Practice Midwife |
| R204958 | MD | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lock Haven Clinic Company, LLC | Past | Accepting new patients | |
| Simmonds, Martin & Helmbrecht, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Obstetrics & Gynecology Physician
- Damascus, MD
- NPI 1558411934
-
- Orthopaedic Surgery Physician
- Lock Haven, PA
- NPI 1356430847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1023099827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26005 RIDGE RD",
"address_2": "SUITE 200",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208721892",
"telephone_number": "301-414-2300",
"fax_number": "301-414-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11921 ROCKVILLE PIKE",
"address_2": "SUITE 400",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522737",
"telephone_number": "301-414-2300",
"fax_number": "301-414-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRETT",
"first_name": "BEVERLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "ARNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP1205642",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": "MW010133",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN 197292-L",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R204958",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033593200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEVERLY",
"last_name": "OTTO",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "ARNP, CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.