Beth Shafer Venugopal, REGISTERED NURSE

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

041260944 Issued in IL

Practice address

1942 Dempster St
Evanston, IL 60202-1016

Phone

(847) 688-1900

Fax

(847) 869-7392

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1376230789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021653",
            "telephone_number": "803-413-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021016",
            "telephone_number": "847-688-1900",
            "fax_number": "847-869-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENUGOPAL",
        "first_name": "BETH",
        "middle_name": "SHAFER",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IL",
            "license": "041260944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Lynn Velasco, IBCLC
• Yaminah Maxim Velasco, AGPCNP-BC
• Desiree Velez
• Jeffery S. Vender, MD
• Neil Venketramen
• Lara Veon
• Eileen Vera
• Veracity Counseling
• Paule Verdier, M.O.T., O.T.R./L.
• Preetha P Verghese, PHARMD

• Ambulatory Care Registered Nurse in Evanston, IL
• Providers in Evanston, IL by specialty
• Ambulatory Care Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.