Beverly Chawk, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP1178912 Issued in FL

Practice address

13908 Lakeshore Blvd Ste 240
Hudson, FL 34667-1492

Phone

(727) 868-1312

Fax

(727) 863-7929

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2019.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1487763231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13908 LAKESHORE BLVD STE 240",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671492",
            "telephone_number": "727-868-1312",
            "fax_number": "727-863-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWK",
        "first_name": "BEVERLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1178912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302642600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jyothi Chandra
• Shreya Chandra
• Fong Mei Chang, M.D.
• Sing Long Chang, MD
• Tien My Chau, DO
• Casper Chen, DO
• Jeffin Pappachan Cherian, M.D., M.S.
• Brennan Chessher, MSN, RN
• CHRG Group LLC
• Christine Behan, M.D. PA

• All providers in Hudson, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.