Active NPI
Beverly Turnham
- Ambulance
- Pleasanton, TX
National Provider Identifier
1548544398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1000103
- Practice address
- 619 2ND St
Pleasanton, TX 78064-3101 - Phone
- (830) 569-5050
- Fax
- (830) 569-5050
- NPI assigned
- Sep 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulance | 341600000X | 1000103 | TX | Primary |
Addresses
Primary practice location
619 2ND St
Pleasanton, TX 78064-3101
Mailing address
PO Box 149
Pleasanton, TX 78064-0149
Phone (830) 569-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB856 | Other | TX | MEDICARE PTAN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000103 | TX | MD | Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Ambulance Service | 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 and National Provider Directory roles.
-
- Land Ambulance
- Pleasanton, TX
- NPI 1164438750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1548544398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 149",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780640149",
"telephone_number": "830-569-5050",
"fax_number": "830-569-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 2ND ST",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780643101",
"telephone_number": "830-569-5050",
"fax_number": "830-569-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNHAM",
"first_name": "BEVERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "1000103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AMB856",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.