Beth A Whipple, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

352110-1 Issued in NY

Practice address

552 Main St
Phoenix, NY 13135-2018

Phone

(315) 695-1634

Fax

(315) 695-1694

NPI assigned

Apr 15, 2013

Last updated

Apr 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Beth A Van Gorder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1497198980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BESAW RD",
            "city": "PHOENIX",
            "state": "NY",
            "postal_code": "131352149",
            "telephone_number": "315-593-7551",
            "fax_number": "315-695-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 MAIN ST",
            "city": "PHOENIX",
            "state": "NY",
            "postal_code": "131352018",
            "telephone_number": "315-695-1634",
            "fax_number": "315-695-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "352110-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "VAN GORDER",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary E Smith
• Patricia Irene Smith, LPN
• Claudia Sobik, RN
• Crystal Elizabeth Tangorra, OTR/L
• Bridget Elizabeth Walts, LMT
• Kayleigh Marie Wood, LPN
• Chrissoula Chrissa Zarafonitis, D.M.D.

• School Registered Nurse in Phoenix, NY
• Providers in Phoenix, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.