Individual provider Active NPI

Beverlee K Furner, NP

  • Nurse Practitioner
  • Middleton, ID
National Provider Identifier
1487816500
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP881A Issued in ID
Practice address
201 S 1St Ave E
Middleton, ID 83644-5809
Phone
(208) 585-0048
Fax
(208) 585-6242
NPI assigned
Jun 30, 2008
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP881A ID Primary

Addresses

Primary practice location

201 S 1St Ave E
Middleton, ID 83644-5809

Mailing address

211 16TH Ave N
PO Box 9
Nampa, ID 83687-4058
Phone (208) 461-7149

Other identifiers 1

IdentifierTypeStateIssuer
8081373MedicaidID

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP881AIDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Clinics, Inc. Past Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1487816500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 16TH AVE N",
            "address_2": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836874058",
            "telephone_number": "208-461-7149",
            "fax_number": "208-467-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 1ST AVE E",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445809",
            "telephone_number": "208-585-0048",
            "fax_number": "208-585-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURNER",
        "first_name": "BEVERLEE",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP881A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8081373",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.