Beverly A Baldwin, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN052860 Issued in LA

Practice address

4781 S. Grand Street
Monroe, LA 71202

Phone

(318) 362-5430

Fax

(318) 362-5424

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By 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

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467550624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAMY LANE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013152",
            "telephone_number": "318-322-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 S. GRAND STREET",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71202",
            "telephone_number": "318-362-5430",
            "fax_number": "318-362-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "RN052860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl H. Baker, PH.D
• Jimmica Baker
• Rhett Warren Baker, M.D.
• Deborah Johnson Balch, LOTR
• Kendra Baldridge, BCBA
• Vernon T Baldwin Jr., CRNA
• Curtis Balius, M.D.
• Mark Ball
• Shelbi Lyn Ballard, SLP
• Ballet Medical Corporation

• Addiction (Substance Use Disorder) Registered Nurse in Monroe, LA
• Providers in Monroe, LA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.