Beth D. Aversa, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30002374 Issued in WA

Practice address

1001 N Broadway
Suite a-3
Everett, WA 98201-1586

Phone

(425) 317-0300

Fax

(425) 317-0303

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beth Dado Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Lynnwood Medical Center, Incorporated, P.S.

  • Primary Care Clinic/Center
  • Lynnwood, WA
  • NPI 1164555652
  NPD (past)
• Providence Health & Services-Washington

  • Ambulatory Surgical Clinic/Center
  • Everett, WA
  • NPI 1588294854
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033201009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1166",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982061166",
            "telephone_number": "425-258-7357",
            "fax_number": "425-258-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N BROADWAY",
            "address_2": "SUITE A-3",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011586",
            "telephone_number": "425-317-0300",
            "fax_number": "425-317-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERSA",
        "first_name": "BETH",
        "middle_name": "D.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30002374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9608639",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "DADO",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsay Austin, LMP
• Richard B Austin, MSW, LICSW
• Stephen C Austin, PHARMD, BCPS BC-ADM
• Stuart M Austin, PA-C
• Alessandra S Avalos, SUDPT
• Randall Gene Avila
• Megan L Axley, MSW
• Roberto Montiel Ayala, CPC
• Kathleen Mary Aycock, ARNP, NNP
• John Richard Ayres, D.C., D.A.B.C.O.

• Nurse Practitioner in Everett, WA
• Providers in Everett, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.