Individual provider Active NPI

Beverly A Armstrong, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1386833341
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1826022 Issued in FL
Practice address
3487 Broadway
Fort Myers, FL 33901-7213
Phone
(239) 334-9555
Fax
(239) 334-2832
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1826022 FL Primary
Registered Nurse 163W00000X ARNP 1826022 FL

Addresses

Primary practice location

3487 Broadway
Fort Myers, FL 33901-7213

Mailing address

3487 Broadway
Fort Myers, FL 33901-7213
Phone (239) 334-9555

Other identifiers 2

IdentifierTypeStateIssuer
750525601MedicaidFL
ARNP 1826022OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110804000444 FL Practitioner - Nurse Practitioner 0042489262 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 1826022FLMDRegistered Nurse
ARNP1826022FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Wellness Centers LLC CurrentSince Nov 17, 2022 Accepting new patients
Comprehensive Wellness Centers, LLC CurrentSince Mar 5, 2023 Accepting new patients
Comprehensive Care Clinic LLC PastSince Nov 17, 2022 Accepting new patients

Locations

720 S Dixie Hwy
Lantana, FL 33462
Phone (561) 619-5858

720 S Dixie Hwy
Ste 3
Lantana, FL 33462
Phone (561) 619-5856

720 S Dixie Hwy
Ste 2
Lantana, FL 33462

660 S Dixie Hwy
Lantana, FL 33462
Phone (561) 619-5858

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1386833341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3487 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017213",
            "telephone_number": "239-334-9555",
            "fax_number": "239-334-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017213",
            "telephone_number": "239-334-9555",
            "fax_number": "239-334-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1826022",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP 1826022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750525601",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP 1826022",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.