Individual provider Active NPI

Beverly Helene Taylor-Beisel, R.N.

  • Registered Nurse
  • Marathon, NY
National Provider Identifier
1467783571
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
573045-1 Issued in NY
Practice address
3020 Phillips Rd
Marathon, NY 13803-2133
Phone
(607) 849-3873
Fax
(607) 849-3873
NPI assigned
Jan 29, 2010
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 573045-1 NY Primary

Addresses

Primary practice location

3020 Phillips Rd
Marathon, NY 13803-2133

Mailing address

3020 Phillips Rd
Marathon, NY 13803-2133
Phone (607) 849-3873

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
573045-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1467783571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 PHILLIPS RD",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "138032133",
            "telephone_number": "607-849-3873",
            "fax_number": "607-849-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 PHILLIPS RD",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "138032133",
            "telephone_number": "607-849-3873",
            "fax_number": "607-849-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-BEISEL",
        "first_name": "BEVERLY",
        "middle_name": "HELENE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "573045-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.