Individual provider Active NPI

Beverley Hollander, RN

  • Registered Nurse
  • Eugene, OR
National Provider Identifier
1366788127
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
085068429 Issued in OR
Practice address
27850 Lady Slipper Loop
Redfeather Ridge
Eugene, OR 97405-9775
Phone
(541) 345-3772
Fax
(541) 343-3762
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 085068429 OR Primary

Addresses

Primary practice location

27850 Lady Slipper Loop
Redfeather Ridge
Eugene, OR 97405-9775

Mailing address

27850 Lady Slipper Loop
Redfeather Ridge
Eugene, OR 97405-9775
Phone (541) 345-3772

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
085068429ORMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1366788127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27850 LADY SLIPPER LOOP",
            "address_2": "REDFEATHER RIDGE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059775",
            "telephone_number": "541-345-3772",
            "fax_number": "541-343-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27850 LADY SLIPPER LOOP",
            "address_2": "REDFEATHER RIDGE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059775",
            "telephone_number": "541-345-3772",
            "fax_number": "541-343-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "BEVERLEY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "085068429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.