Beverly Mustain, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP11152 Issued in CA

Practice address

10956 Donner Pass Rd
St 260
Truckee, CA 96161-4861

Phone

(530) 582-6400

Fax

(530) 582-6991

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1225066004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD",
            "address_2": "ST 260",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-6400",
            "fax_number": "530-582-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD",
            "address_2": "ST 260",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-6400",
            "fax_number": "530-582-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAIN",
        "first_name": "BEVERLY",
        "name_prefix": "Miss",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP11152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain West Derm California PC
• Eddie Sperling Mozen, MD
• Ellen Munoz, MS, LPCC, LMFT
• Ryann Norae Murphy, MS, LMFT
• May Dawn Murray, LPC
• Cherisse Antoinette Bent Mwero, M.D.
• Brian Neal Naftulin, M.D.
• Mori Naftulin, DDS
• Amanda Lynn Neeleman, MSW, LCSW
• Monica Neff, MD

• Nurse Practitioner in Truckee, CA
• Providers in Truckee, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.