Individual provider Active NPI

Beverly Anne Winn, FNP

  • Family Nurse Practitioner
  • Anadarko, OK
National Provider Identifier
1134554033
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66022 Issued in OK
Practice address
718 W Petree Rd
Anadarko, OK 73005-6024
Phone
(405) 632-6688
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128264 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP128264 TX
Family Nurse Practitioner 363LF0000X 66022 OK Primary

Addresses

Primary practice location

718 W Petree Rd
Anadarko, OK 73005-6024

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

Other practice location 1

4749 Odom Rd
Beaumont, TX 77706-7080
Phone (409) 200-2220

Other practice location 2

105 Canyon Lake Cir
Lumberton, TX 77657-3701
Phone (409) 200-2220

Other names 1

  • Beverly Anne Livengood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131030001424 OK Practitioner - Nurse Practitioner 3375778244 Reassigns benefits to 1 organization
I20190822001793 TX Practitioner - Nurse Practitioner 3375778244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Variety Care, Inc.Group PAC ID 1557260007, shared by 23 NPIs, 101 clinicians

Practice addresses (Care Compare)

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

508 W Vandament Ave
Yukon, OK 73099-4666
Phone (405) 632-6688

718 W Petree Rd
Anadarko, OK 73005-6024
Phone (405) 632-6688

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128264TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Variety Care, Inc. CurrentSince Feb 17, 2025 Accepting new patients
Variety Care, Inc. Current Accepting new patients
Variety Care, Inc. CurrentSince Feb 17, 2025 Accepting new patients
Newpath Group Psychiatric/Mental Health CurrentSince Apr 13, 2021 Accepting new patients

Locations

718 W Petree Rd
Anadarko, OK 73005

3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209

4749 Odom Rd
Beaumont, TX 77706
Phone (409) 200-2220

105 Canyon Lake Cir
Lumberton, TX 77657
Phone (409) 200-2220

Interoperability endpoints

  • Direct secure messaging: bwinn765168@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1134554033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W PETREE RD",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730056024",
            "telephone_number": "405-632-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4749 Odom Rd",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777067080",
            "country_code": "US",
            "telephone_number": "409-200-2220",
            "fax_number": "409-440-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Canyon Lake Cir",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "TX",
            "postal_code": "776573701",
            "country_code": "US",
            "telephone_number": "409-200-2220",
            "fax_number": "409-440-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINN",
        "first_name": "BEVERLY",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128264",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP128264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "66022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "LIVENGOOD",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anadarko, OK

Sources for this page

Verify at the official NPI Registry.