Individual provider Active NPI

Beverly Frances Pinard, RN

  • Registered Nurse
  • Santa Cruz, CA
National Provider Identifier
1629113899
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN201246 Issued in CA
Practice address
131 Westmoor CT
Santa Cruz, CA 95060-2438
Phone
(831) 426-6915
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN201246 CA Primary

Addresses

Primary practice location

131 Westmoor CT
Santa Cruz, CA 95060-2438

Mailing address

515 Meder St
Santa Cruz, CA 95060-2309
Phone (831) 476-4481

Other identifiers 2

IdentifierTypeStateIssuer
4233536OtherCAMEDI CAL PEDS
1473536OtherCAMEDI CAL RN

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN201246CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629113899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MEDER ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602309",
            "telephone_number": "831-476-4481",
            "fax_number": "831-475-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WESTMOOR CT",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602438",
            "telephone_number": "831-426-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINARD",
        "first_name": "BEVERLY",
        "middle_name": "FRANCES",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN201246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL PEDS",
            "identifier": "4233536",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL RN",
            "identifier": "1473536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.