BB Health and Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R075319 Issued in MD

Legal business name

BB HEALTH AND WELLNESS

Practice address

16905 Flickerwood Rd
Parkton, MD 21120-9767

Phone

(410) 456-2182

Fax

(410) 343-0842

NPI assigned

Aug 3, 2018

Organization subpart

No

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

Authorized official

Name

Beverly J. Davis Bye, CRNPNPI 1306843644

Title

Family and PMH Nurse Practitioner

Phone

(410) 456-2182

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly June Davis Bye, CRNP

  • Family Nurse Practitioner
  • Parkton, MD
  • NPI 1306843644

  Family, MD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1104304948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16905 FLICKERWOOD RD",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211209767",
            "telephone_number": "410-456-2182",
            "fax_number": "410-343-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16905 FLICKERWOOD RD",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211209767",
            "telephone_number": "410-456-2182",
            "fax_number": "410-343-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BB HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS BYE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "FAMILY AND PMH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-456-2182",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R075319",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "RO75319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEVERLY DAVIS BYE NPI NUMBER",
            "identifier": "1306843644",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Acsadi
• Agape Physical Therapy & Sports Rehabilitation LP
• Whitney Bernard, PHARMD
• Nicolle Beatrice Birckhead, LCSW-C
• Teresa Ann Boshears, MSW
• Stanley Caplan
• Sandra Lynn Carl, PHARM D

• Family Nurse Practitioner in Parkton, MD
• Providers in Parkton, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.