Beverly Kosik, CRNP

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

1-124830 Issued in AL

Practice address

2431 W Main St Ste 1102
Dothan, AL 36301-1250

Phone

(334) 792-1100

NPI assigned

Apr 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1295589778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MONTEZUMA AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033907",
            "telephone_number": "334-448-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W MAIN ST STE 1102",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011250",
            "telephone_number": "334-792-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIK",
        "first_name": "BEVERLY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-124830",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AL",
            "license": "1-124830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayre Katherine Knox, CRNP
• Chandra Kumar Mallic Kodavanti, MD
• Joan Lee Kogelschatz, PHD
• Richard Woodland Kohl Jr., LPC
• Krystal Sims Kornegay, CRNP
• Chelsey Wilson Kosik, CRNP
• Kalen Kosik
• Sarina Kothari, DO
• Tadeus Edward Kowalski, M.D.
• Michael Kreger, M.D.

• Hospice and Palliative Medicine (Family Medicine) Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.