Active NPI
Beatrice L Mohr, ARNP
- Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1063716041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP3177162
- Practice address
- 9981 S Healthpark Dr # 2-West
Fort Myers, FL 33908-3618 - Phone
- (239) 343-2052
- Fax
- (239) 343-5348
- NPI assigned
- Jan 5, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3177162 | FL | Primary |
Addresses
Primary practice location
9981 S Healthpark Dr # 2-West
Fort Myers, FL 33908-3618
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014990100 | Medicaid | FL |
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063716041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-1449",
"fax_number": "239-424-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9981 S HEALTHPARK DR # 2-WEST",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083618",
"telephone_number": "239-343-2052",
"fax_number": "239-343-5348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHR",
"first_name": "BEATRICE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3177162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014990100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.