Holly Beavers, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Bandy, VA
NPI 1245007186 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1245007186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024188868 (VA)
- Practice address
- 1745 Panther Branch Rd
Bandy, VA 24602 - Phone
- (276) 971-6165
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240409002954 | VA | Practitioner - Hospice/Palliative Care | 8820436926 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024188868 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia in-Home Partner-XII, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024188868 | VA | Yes |
Addresses
Primary practice location
1745 Panther Branch Rd
Bandy, VA 24602
Mailing address
PO Box 596
Cedar Bluff, VA 24609-0596
Other providers in Bandy, VA
All providers in Bandy, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.