Active NPI
Johnnetta Virginia Beverly, CNA
- Nurse's Aide
- Gretna, LA
National Provider Identifier
1306022447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 41365
- Practice address
- 737 Wright Ave
Gretna, LA 70056-4156 - Phone
- (504) 638-1318
- Fax
- (504) 362-0950
- NPI assigned
- Jan 19, 2008
- Last updated
- Jan 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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's Aide | 376K00000X | 41365 | LA | Primary |
Addresses
Primary practice location
737 Wright Ave
Gretna, LA 70056-4156
Mailing address
737 Wright Ave
Gretna, LA 70056-4156
Phone (504) 638-1318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41365 | LA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200700800000",
"number": "1306022447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 WRIGHT AVE",
"city": "GRETNA",
"state": "LA",
"postal_code": "700564156",
"telephone_number": "504-638-1318",
"fax_number": "504-362-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 WRIGHT AVE",
"city": "GRETNA",
"state": "LA",
"postal_code": "700564156",
"telephone_number": "504-638-1318",
"fax_number": "504-362-0950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERLY",
"first_name": "JOHNNETTA",
"middle_name": "VIRGINIA",
"name_prefix": "Miss",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-19",
"last_updated": "2008-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "LA",
"license": "41365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
- Best Care Providers, Inc
- Best Care Providers, Inc
- Bethesda Urgent Care LLC (Bethesda Urgent Care)
- Heath Louis Bettencourtt, MD
- Betty J Dowty, MD, PHD, Apmc
- BHG Lxii LLC (BHG Medical Services - Louisiana)
- Jennifer L. Bigelow, MD
- Charles Kelso Billings, MD
- Danielle Billot-Dupre, BLP
- Bio-Medical Applications of Louisiana, LLC (Fresenius Medical Care Gretna)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.