Beverly Skinner-Wells, ARDMS/RVT

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

11039 Issued in TX

Practice address

1408 E Lake Dr
Gladewater, TX 75647-9205

Phone

(903) 399-0858

Fax

(877) 879-7379

NPI assigned

Oct 1, 2011

Last updated

Dec 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bewell & Associates LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Gladewater, TX
  • NPI 1942584537
  NPD (past) Authorized official

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

{
    "created_epoch": "1317427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1295019883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E LAKE DR",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756479205",
            "telephone_number": "903-399-0858",
            "fax_number": "877-879-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E LAKE DR",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756479205",
            "telephone_number": "903-399-0858",
            "fax_number": "877-879-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER-WELLS",
        "first_name": "BEVERLY",
        "credential": "ARDMS/RVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-01",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "TX",
            "license": "11039",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "TX",
            "license": "11039",
            "primary": true
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "TX",
            "license": "11039",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "TX",
            "license": "11039",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TX",
            "license": "11039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Radiologic Technologist in Gladewater, TX
• Providers in Gladewater, TX by specialty
• Sonography Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.