Elizabeth Evans Beverly, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R859850 Issued in MS

Practice address

4500 13TH St
Gulfport, MS 39501-2515

Phone

(228) 867-4000

NPI assigned

Feb 17, 2013

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361059200000",
    "number": "1386984037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 BLACK GUM DR",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395655346",
            "telephone_number": "228-591-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-867-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "ELIZABETH",
        "middle_name": "EVANS",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-17",
        "last_updated": "2013-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R859850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald P. Bernadas, M.D.
• Peter Joseph Bernheim, M.D.
• Heather Lyn Berry, NP
• Bertucci Eye Care
• Philip L Bertucci, MD
• Jennifer Bickel
• Bienville Orthopaedic Specialists, LLC
• Bienville Therapy, LLC
• Bio-Medical Applications of Mississippi, Inc.
• Bio-Medical Applications of Mississippi, Inc.

• All providers in Gulfport, MS
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2013; 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.