Individual provider Active NPI

Beverly Ann Jarrett, ARNP, CNM

  • Advanced Practice Midwife
  • Rockville, MD
National Provider Identifier
1023099827
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010133 Issued in PA
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

Updated by the provider on Aug 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
033593200MedicaidFL

Other names 1

  • Ms. Beverly Ann Otto Former name

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

LicenseStateTypeSpecialty
RN 197292-LPAMDRegistered Nurse
ARNP1205642FLMDAdvanced Practice Midwife
R204958MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.