Susan Marie Bevevino, MSN, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP005515B Issued in PA

Practice address

1265 Wayne Ave Ste 306
119 Professional Center
Indiana, PA 15701-3501

Phone

(724) 349-3233

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Master of Science - Nursing

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1366453813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LYNN WAY",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013646",
            "telephone_number": "724-464-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 306",
            "address_2": "119 PROFESSIONAL CENTER",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-349-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVEVINO",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP005515B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Marie Berkey
• Jose Bernardo, M.D.
• Salvatore Bernardo Jr., M.D.
• Cassidy Rae Bessell, MS, RDN, LDN
• Julia Rose Bettge, MA
• Tanvi Bharathan, MD
• Aleah Rae Bianconi
• Kathy Jean Biddle, MS, CRNP
• Nazneen R. Billimoria, M.D.
• Andrew Billon, M.D.

• Family Nurse Practitioner in Indiana, PA
• Providers in Indiana, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.