Elizabeth Ann Bevan Kasper, ARNP, FNP-C, DCNP

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

ARNP2804142 Issued in FL

Practice address

5220 Belfort Road South
Ste 130
Jacksonville, FL 32256-6017

Phone

(727) 867-5480

Fax

(888) 507-9833

NPI assigned

Sep 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)
• Nautilus Health Care Group, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Kokomo, IN
  • NPI 1013234699

  Wound Care

  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1619963469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BELFORT ROAD SOUTH",
            "address_2": "STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017",
            "telephone_number": "727-867-5480",
            "fax_number": "888-507-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 BELFORT ROAD SOUTH",
            "address_2": "STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017",
            "telephone_number": "727-867-5480",
            "fax_number": "888-507-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN BEVAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP-C, DCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "ARNP2804142",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "FL2804142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y8420",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002418600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pavel Kasianov, NP-C
• Michael Paul Kasimier, P.T., D.P.T.
• Kasir Home Care
• Ramla Namisango Kasozi, MD, MPH
• Aline Kasper
• Vincent Kasper, MD
• Kasraeian Urology LLC
• Ahmad Kasraeian, M.D.
• Ali Kasraeian, MD
• Kassab Chiropractic LLC

• Wound Care Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Wound Care Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.