Individual provider Active NPI

Beverly Lynne Meier-Hanaway, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1366708901
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
14533 Issued in CA
Practice address
5151 F Street
Sutter Memorial Hospital
Sacramento, CA 95819
Phone
(916) 454-6201
NPI assigned
Apr 9, 2012
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 14533 CA Primary

Addresses

Primary practice location

5151 F Street
Sutter Memorial Hospital
Sacramento, CA 95819

Mailing address

11270 Rough and Ready Hwy
Hospice of the Foothills
Grass Valley, CA 95945
Phone (530) 272-5739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150312002546 CA Practitioner - Nurse Practitioner 1557687373 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14533CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Nangalama MD, PHD, PC CurrentSince Oct 18, 2024 Accepting new patients
Vital Health Ca Medical Group CurrentSince Dec 1, 2022 Accepting new patients
Health and Life Organization, Inc. Past Accepting new patients

Locations

4944 Windplay Dr
Ste 112
El Dorado Hills, CA 95762
Phone (530) 451-6234

9490 Madison Ave
Ste 200
Orangevale, CA 95662
Phone (702) 496-1484

11386 Pleasant Valley Rd
Penn Valley, CA 95946
Phone (530) 451-6234

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1366708901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11270 ROUGH AND READY HWY",
            "address_2": "HOSPICE OF THE FOOTHILLS",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-272-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 F STREET",
            "address_2": "SUTTER MEMORIAL HOSPITAL",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95819",
            "telephone_number": "916-454-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIER-HANAWAY",
        "first_name": "BEVERLY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "14533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.