Beverly Jeanette St. Amour

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

S535085385072 Issued in MI

Practice address

3520 Saint Paul St
Trenton, MI 48183-3631

Phone

(734) 642-6331

NPI assigned

May 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bstamour677096@direct.hfhs.org

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1487238291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 SAINT PAUL ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833631",
            "telephone_number": "734-642-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 SAINT PAUL ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833631",
            "telephone_number": "734-642-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. AMOUR",
        "first_name": "BEVERLY",
        "middle_name": "JEANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "S535085385072",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "S535085385072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahima Spanta, MD
• Stephanie Spink, PT, DPT
• Sportsmedic
• Kevin J Sprague, M.D.
• Hayat Srour, PA-C
• Haley St.Louis
• Matthew Stander, DO
• Michael P Stanton, CRNA
• Krista Stapleton
• Christopher Starll, CCC-SLP

• Case Management Registered Nurse in Trenton, MI
• Providers in Trenton, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.