Active NPI
Beatriz Isabel Lavell, MD
- Family Medicine Physician
- Madison, WI
National Provider Identifier
1407897705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43104-020
- Practice address
- 333 East Campus Mall
University Health Services
Madison, WI 53715-1381 - Phone
- (608) 265-5600
- Fax
- (608) 263-6884
- NPI assigned
- Jun 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 43104-020 | WI | |
| Family Medicine Physician | 207Q00000X | 43104-020 | WI | Primary |
Addresses
Primary practice location
333 East Campus Mall
University Health Services
Madison, WI 53715-1381
Mailing address
333 East Campus Mall
University Health Services
Madison, WI 53715-1381
Phone (608) 265-5600
Other practice location 1
1716 Reisell Rd
Blue Mounds, WI 53517-9419
Phone (608) 445-0604
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34126200 | Medicaid | WI | |
| 60205 | Other | WI | DEAN HEALTH INSURANCE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43104-020 | WI | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1407897705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EAST CAMPUS MALL",
"address_2": "UNIVERSITY HEALTH SERVICES",
"city": "MADISON",
"state": "WI",
"postal_code": "537151381",
"telephone_number": "608-265-5600",
"fax_number": "608-263-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 EAST CAMPUS MALL",
"address_2": "UNIVERSITY HEALTH SERVICES",
"city": "MADISON",
"state": "WI",
"postal_code": "537151381",
"telephone_number": "608-265-5600",
"fax_number": "608-263-6884"
}
],
"practiceLocations": [
{
"address_1": "1716 Reisell Rd",
"address_purpose": "LOCATION",
"city": "Blue Mounds",
"state": "WI",
"postal_code": "535179419",
"country_code": "US",
"telephone_number": "608-445-0604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVELL",
"first_name": "BEATRIZ",
"middle_name": "ISABEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "43104-020",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "43104-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34126200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "60205",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.