Individual provider Active NPI

Danide Ovilmar Beauvil, RN

  • Registered Nurse
  • Port St Lucie, FL
National Provider Identifier
1669079711
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9342580 Issued in FL
Practice address
5251 NW North Delwood Dr
Port St Lucie, FL 34986-2759
Phone
(561) 574-7370
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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 9342580 FL Primary

Addresses

Primary practice location

5251 NW North Delwood Dr
Port St Lucie, FL 34986-2759

Mailing address

5251 NW North Delwood Dr
Port St Lucie, FL 34986-2759
Phone (561) 574-7370

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
9342580FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1669079711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 NW NORTH DELWOOD DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862759",
            "telephone_number": "561-574-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 NW NORTH DELWOOD DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862759",
            "telephone_number": "561-574-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUVIL",
        "first_name": "DANIDE",
        "middle_name": "OVILMAR",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9342580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.