Beverly A Echoles, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R262168 Issued in MD

Practice address

2005 Town Center Blvd
Odenton, MD 21113-1774

Phone

(601) 405-0374

NPI assigned

Jun 12, 2013

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 identifiers 4

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Comprehensive Women'S Health

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1760675086

  DC, Single Specialty

  Medicare reassignment NPD
• E & M Health Services, LLC

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1831979764

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1124466099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 REECE RD",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211447500",
            "telephone_number": "601-405-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 TOWN CENTER BLVD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131774",
            "telephone_number": "601-405-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLES",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R262168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5803866",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS MEDICARE",
            "identifier": "315084YV3Y",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12660742",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200062",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James F Doyle, PT, OCS
• Susan Drum, RPH
• Reem Dughly, DDS
• Nature Josette Duran-Smith
• Dawn M. Duran, PT
• Courtney Edge
• Ryane Alexandra Edmonds, MD
• Christopher Edwards
• Housna El Kotbi
• Elora Home Care, LLC

• Family Nurse Practitioner in Odenton, MD
• Providers in Odenton, 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 Sep 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.