Illiana Annette Beverly

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

1801 Superior Ave E
Cleveland, OH 44114-2135

Phone

(216) 509-3480

Fax

(866) 608-0504

NPI assigned

Mar 2, 2018

Last updated

Mar 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1598267874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 WALMAR RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401521",
            "telephone_number": "803-318-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SUPERIOR AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142135",
            "telephone_number": "216-509-3480",
            "fax_number": "866-608-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "ILLIANA",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Beven, MD
• Michael P Beven, CRNA
• Claire Beveridge, MD
• Mara Beveridge, M.D.
• Laurel A Beverley, MD
• Tara C Beverly, QMHS MA CMS MA
• Megan Marie Bevilacqua, APRN
• Bewell Solutions
• Sara Bewley, RD
• Ariana Bey

• Health Educator in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Health Educator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.