Individual provider Active NPI

Belyin Carolina Arevalo, APRN

  • Family Medicine Physician
  • Brownsville, TX
National Provider Identifier
1629850268
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32613 Issued in TN
Practice address
5976 Norma Pechero LN
Brownsville, TX 78526-4319
Phone
(615) 337-8212
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32613 TN Primary

Addresses

Primary practice location

5976 Norma Pechero LN
Brownsville, TX 78526-4319

Mailing address

5976 Norma Pechero LN
Brownsville, TX 78526-4319
Phone (615) 337-8212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807003126 TN Practitioner - Nurse Practitioner 4183161102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32613TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince May 24, 2024 Accepting new patients
Privia Medical Group Tennessee LLC Family Medicine CurrentSince May 24, 2024 Accepting new patients

Locations

166 E Main St
Hendersonvlle, TN 37075
Phone (615) 822-3000

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

Organizations & group practices 2

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1629850268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 NORMA PECHERO LN",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264319",
            "telephone_number": "615-337-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 NORMA PECHERO LN",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264319",
            "telephone_number": "615-337-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "BELYIN",
        "middle_name": "CAROLINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "32613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.