Beverley Hyacinth Chin

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

082024 Issued in NY

Practice address

4435 Boatmans CV
Stone Mountain, GA 30083-2483

Phone

(770) 235-6757

Fax

(770) 469-7825

NPI assigned

Jan 13, 2011

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Beverley Hyacinth Dinnall 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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1093010548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 BOATMANS CV",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832483",
            "telephone_number": "770-235-6757",
            "fax_number": "770-469-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 BOATMANS CV",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832483",
            "telephone_number": "770-235-6757",
            "fax_number": "770-469-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "BEVERLEY",
        "middle_name": "HYACINTH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NY",
            "license": "082024",
            "primary": true
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NY",
            "license": "034875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLEY",
            "last_name": "DINNALL",
            "middle_name": "HYACINTH",
            "prefix": "MISS",
            "credential": "MT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Chetcuti, PT, DPT
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• Children First Quality Service
• Childrens Dentistry of Lithonia LLC
• Gwendolyn J Childs, M.A., PSY.D.
• Maisie Violet Chin, PT
• Hyung Wook Choi, PHARM D
• Godwin Chukudi
• Eleanor Chung, LPN
• Sasha-Ann L Cisneros

• Medical Technologist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Medical Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.