Active NPI
Beverly J Mike-Nard, RNC, MSN, CNNP
- Nurse Practitioner
- Boardman, OH
National Provider Identifier
1598839284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.04072-NP
- Practice address
- 8401 Market St
Boardman, OH 44512-6725 - Phone
- (330) 729-7633
- Fax
- (330) 729-4656
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.04072-NP | OH | Primary |
Addresses
Primary practice location
8401 Market St
Boardman, OH 44512-6725
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 729-7633
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.04072-NP | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1598839284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-729-7633",
"fax_number": "330-729-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MARKET ST",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126725",
"telephone_number": "330-729-7633",
"fax_number": "330-729-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKE-NARD",
"first_name": "BEVERLY",
"middle_name": "J",
"credential": "RNC, MSN, CNNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.04072-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.