Active NPI
Beverly Rose Bayer, NP
- Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1255508818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024082738
- Practice address
- 3620 Joseph Siewick Dr
Suite 306
Fairfax, VA 22033-1756 - Phone
- (703) 264-0521
- Fax
- (703) 860-0229
- NPI assigned
- May 13, 2008
- Last updated
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024082738 | VA | Primary |
Addresses
Primary practice location
3620 Joseph Siewick Dr
Suite 306
Fairfax, VA 22033-1756
Mailing address
3620 Joseph Siewick Dr
Suite 306
Fairfax, VA 22033-1756
Phone (703) 264-0521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024082738 | VA | MD | Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1255508818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 JOSEPH SIEWICK DR",
"address_2": "SUITE 306",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331756",
"telephone_number": "703-264-0521",
"fax_number": "703-860-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 JOSEPH SIEWICK DR",
"address_2": "SUITE 306",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331756",
"telephone_number": "703-264-0521",
"fax_number": "703-860-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYER",
"first_name": "BEVERLY",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024082738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.