Beverly Jean Norman, L.V.N.

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN104322 Issued in CA

Practice address

4411 E Kings Canyon Rd
Fresno, CA 93702-3604

Phone

(559) 453-1008

Fax

(559) 661-2818

NPI assigned

May 9, 2007

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 names 1

• Miss Beverly Jean Staub Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1043424195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-453-1008",
            "fax_number": "559-661-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-453-1008",
            "fax_number": "559-661-2818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14277 Road 28",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936385715",
            "country_code": "US",
            "telephone_number": "559-673-3506 x235",
            "fax_number": "559-661-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "BEVERLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "L.V.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN104322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "STAUB",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "L.V.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Azeem Noorani, MD
• Natnicha Noppornmongkul, M.D.
• Mariana L Norby, RN, MS, CNS
• Farhana Zafrin Noriega
• Lisha Noriega, MS
• Faith Angelica Norman
• Jean Norman, MSW
• Shaya Lenae Norman, MSW
• Hai Normen
• Katie Lynn James Norris, MS, EDS, LPCC, NCC

• Licensed Vocational Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.