Beverly Vantreese, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306325 Issued in NY

Practice address

3 Spruce St
Canisteo, NY 14823-1058

Phone

(607) 382-8085

NPI assigned

Oct 31, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2013.

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1487082368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPRUCE ST",
            "city": "CANISTEO",
            "state": "NY",
            "postal_code": "148231058",
            "telephone_number": "607-698-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SPRUCE ST",
            "city": "CANISTEO",
            "state": "NY",
            "postal_code": "148231058",
            "telephone_number": "607-382-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTREESE",
        "first_name": "BEVERLY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "306325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Jeanne Mlott, L.P.N.
• Andrew Robert Morling, ATC
• Marcy Ann Morling, P.T.
• Suzanne M Scott, LCSW
• Steed Enterprises, LLC
• Village of Canisteo
• Melissa A White, M.S. CCC/SLP

• All providers in Canisteo, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.