Individual provider Active NPI

Beverly Delores Brown, CAREGIVER

  • Community Health Worker
  • Ocala, FL
National Provider Identifier
1215360987
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
6906623 Issued in FL
Practice address
4671 SW 100TH LN
4671 SW 100TH Lane
Ocala, FL 34476-4157
Phone
(352) 426-0600
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X 6906623 FL Primary

Addresses

Primary practice location

4671 SW 100TH LN
4671 SW 100TH Lane
Ocala, FL 34476-4157

Mailing address

4671 SW 100TH Lane
Ocala, FL 34476
Phone (352) 426-0600

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6906623FLMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1215360987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4671 SW 100TH LANE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34476",
            "telephone_number": "352-426-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 SW 100TH LN",
            "address_2": "4671 SW 100TH LANE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344764157",
            "telephone_number": "352-426-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BEVERLY",
        "middle_name": "DELORES",
        "name_prefix": "Mrs.",
        "credential": "CAREGIVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "6906623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.