Missy Beavers, M.S. NUTRITION

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

MSTN Issued in CA

Practice address

231 W Sycamore St
Willows, CA 95988-2827

Phone

(530) 934-8754

NPI assigned

Jan 4, 2017

Last updated

Jan 4, 2017By the provider in NPPES

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

Other names 1

• Melissa Beavers Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1396280095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W SYCAMORE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882827",
            "telephone_number": "530-934-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W SYCAMORE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882827",
            "telephone_number": "530-934-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "MISSY",
        "credential": "M.S. NUTRITION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "MSTN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BEAVERS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christine Anderson, PT, DPT
• Ayesha S Apique
• Amber Jeneese Arnold
• Roxann J Baillergeon, MFT
• Gillian J Barbaria, DPT
• Jeanette Keenan Berrong, DO
• Norman Viray Bisda, ARNP
• Jennifer Christine Blackwell, ACSW
• Rebecca Reid Boening, MD
• Anne Frances Bonesio, RPH

• Nutrition Education Nutritionist in Willows, CA
• Providers in Willows, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.