Active NPI
Beth L Devries, FNP-C
- Family Nurse Practitioner
- Midland, MI
National Provider Identifier
1386820660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704248036
- Practice address
- 2600 McCandless Dr
Midland, MI 48640-6103 - Phone
- (989) 839-3170
- Fax
- (989) 839-1840
- NPI assigned
- Jan 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704248036 | MI | Primary |
Addresses
Primary practice location
2600 McCandless Dr
Midland, MI 48640-6103
Mailing address
2600 McCandless Dr
Midland, MI 48640-6103
Phone (989) 839-3170
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Edward Rescue Squad Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1386820660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 MCCANDLESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406103",
"telephone_number": "989-839-3170",
"fax_number": "989-839-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 MCCANDLESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406103",
"telephone_number": "989-839-3170",
"fax_number": "989-839-1840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVRIES",
"first_name": "BETH",
"middle_name": "L",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704248036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.