Individual provider Active NPI

Beverly Turnham

  • Ambulance
  • Pleasanton, TX
National Provider Identifier
1548544398
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000103 Issued in TX
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

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AMB856OtherTXMEDICARE 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

LicenseStateTypeSpecialty
1000103TXMDAmbulance

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.