Individual provider Active NPI

Beverly Ann Lammers

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1255743332
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP1413A Issued in ID
Practice address
133 West Ave a, St. B
Twin Falls, ID 83301-3392
Phone
(208) 324-2004
Fax
(208) 324-1154
NPI assigned
May 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP1413A ID Primary

Addresses

Primary practice location

133 West Ave a, St. B
Twin Falls, ID 83301-3392

Mailing address

PO Box 773
Twin Falls, ID 83303-0773
Phone (208) 324-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140729001740 ID Practitioner - Nurse Practitioner 1850517780 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1413AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Idaho, LLC CurrentSince Jul 1, 2016 Accepting new patients
Urgent Care of Idaho, LLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

133 W Avenue A
#B
Jerome, ID 83338
Phone (208) 324-2004

2392 Addison Ave E
Twin Falls, ID 83301
Phone (208) 933-2050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1255743332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030773",
            "telephone_number": "208-324-2004",
            "fax_number": "208-324-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WEST AVE A, ST. B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013392",
            "telephone_number": "208-324-2004",
            "fax_number": "208-324-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMMERS",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP1413A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.