Individual provider Active NPI

Janet Lynn Beres, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1497709190
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100637 Issued in FL
Practice address
7575 Dr Phillips Blvd
Suite 370
Orlando, FL 32819-7216
Phone
(407) 352-8553
Fax
(407) 351-8412
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9100637 FL Primary

Addresses

Primary practice location

7575 Dr Phillips Blvd
Suite 370
Orlando, FL 32819-7216

Mailing address

7575 Dr Phillips Blvd
Suite 370
Orlando, FL 32819-7216
Phone (407) 352-8553

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S Bragg MD PA Past Accepting new patients
Richard S Bragg MD PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497709190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 DR PHILLIPS BLVD",
            "address_2": "SUITE 370",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197216",
            "telephone_number": "407-352-8553",
            "fax_number": "407-351-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 DR PHILLIPS BLVD",
            "address_2": "SUITE 370",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197216",
            "telephone_number": "407-352-8553",
            "fax_number": "407-351-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERES",
        "first_name": "JANET",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.