Active NPI
Beverly Marie Mayberry, APRN-C
- Family Nurse Practitioner
- Havre, MT
National Provider Identifier
1497805428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11840
- Practice address
- 302 4TH Ave
Havre, MT 59501-3654 - Phone
- (406) 265-5481
- Fax
- (406) 265-6976
- NPI assigned
- Jan 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11840 | MT | Primary |
Addresses
Primary practice location
302 4TH Ave
Havre, MT 59501-3654
Mailing address
225 1St Ave W
#9
Havre, MT 59501-3451
Phone (406) 262-7282
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11840 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Health Dept of Health & Human Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Heart Butte Clinic
- Clinic/Center
- Heart Butte, MT
- NPI 1598867848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497805428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 1ST AVE W",
"address_2": "#9",
"city": "HAVRE",
"state": "MT",
"postal_code": "595013451",
"telephone_number": "406-262-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 4TH AVE",
"city": "HAVRE",
"state": "MT",
"postal_code": "595013654",
"telephone_number": "406-265-5481",
"fax_number": "406-265-6976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBERRY",
"first_name": "BEVERLY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "APRN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "11840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.