Individual provider Active NPI

Beverly Sang, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Melissa, TX
National Provider Identifier
1376244277
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1056670 Issued in TX
Practice address
3511 Jersey Rd
Melissa, TX 75454-0398
Phone
(832) 289-3758
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1056670 TX Primary

Addresses

Primary practice location

3511 Jersey Rd
Melissa, TX 75454-0398

Mailing address

3511 Jersey Rd
Melissa, TX 75454-0398
Phone (832) 289-3758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20230612001080 NM Practitioner - Nurse Practitioner 1557728201 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1056670TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Feb 1, 2026 Accepting new patients
BHC Mesilla Valley Hospital LLC CurrentSince May 23, 2023 Accepting new patients

Locations

6200 Seagull St NE
Ste C
Albuquerque, NM 87109
Phone (505) 310-2114

3571 Del Rey Blvd
Mesillia Vly Hosp
Las Cruces, NM 88012
Phone (575) 373-5043

3751 Del Rey Blvd
Las Cruces, NM 88012
Phone (505) 382-3500

2600 American Rd SE
Ste 215
Rio Rancho, NM 87124

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1376244277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 JERSEY RD",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540398",
            "telephone_number": "832-289-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 JERSEY RD",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540398",
            "telephone_number": "832-289-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANG",
        "first_name": "BEVERLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1056670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

Verify at the official NPI Registry.