Individual provider Active NPI

Kim Van Beuren, DVM

  • Veterinarian
  • Naples, FL
National Provider Identifier
1417293093
Registry record updated Dec 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
7357 Issued in FL
Practice address
61 Silver Oaks Cir
#12201
Naples, FL 34119-4663
Phone
(305) 731-7799
NPI assigned
Dec 29, 2012
Last updated
Dec 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 7357 FL Primary

Addresses

Primary practice location

61 Silver Oaks Cir
#12201
Naples, FL 34119-4663

Mailing address

61 Silver Oaks Cir
#12201
Naples, FL 34119-4663

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7357FLMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1356739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356739200000",
    "number": "1417293093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SILVER OAKS CIR",
            "address_2": "#12201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SILVER OAKS CIR",
            "address_2": "#12201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194663",
            "telephone_number": "305-731-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BEUREN",
        "first_name": "KIM",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-29",
        "last_updated": "2012-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "FL",
            "license": "7357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.