Active NPI
Beverly Coon
- Registered Nurse
- Hibbing, MN
National Provider Identifier
1639688203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2457657
- Practice address
- 990 W 41St St
Hibbing, MN 55746-3045 - Phone
- (218) 263-1400
- NPI assigned
- Sep 26, 2017
- Last updated
- Sep 26, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2457657 | MN | Primary |
Addresses
Primary practice location
990 W 41St St
Hibbing, MN 55746-3045
Mailing address
719 1St Ave NW
Chisholm, MN 55719-1203
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2457657 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1639688203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 1ST AVE NW",
"city": "CHISHOLM",
"state": "MN",
"postal_code": "557191203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 W 41ST ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557463045",
"telephone_number": "218-263-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COON",
"first_name": "BEVERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2457657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hibbing, MN
- Charlene M Colwell, MSW, LICSW
- Comprehensive Anesthesia and Managed Pain Systems, Inc.
- Desaree Conner
- Joslyn Mary Rose Cook, APRN, CNP
- Renee Cook, D.O.
- Jeffrey Allan Copeman, M.D.
- Cornerstone Caregiving East LLC (Cornerstone Caregiving)
- Corolla Health PLC
- Daniel Lee Courneya, M.D.
- Janice Coutureknuti, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.