Individual provider Active NPI

Beverly A Driskill, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1689762122
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN000880 Issued in NV
Practice address
8500 W Cheyenne Ave
Las Vegas, NV 89129-7262
Phone
(866) 825-3227
Fax
(866) 825-3227
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN000880 NV Primary

Addresses

Primary practice location

8500 W Cheyenne Ave
Las Vegas, NV 89129-7262

Mailing address

161 Washington St
Eight Tower Bridge, Ste 1400
Conshohocken, PA 19428-2083
Phone (866) 825-3227

Other identifiers 1

IdentifierTypeStateIssuer
PENDING IN PROCESSMedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20070907000392 NV Practitioner - Nurse Practitioner 0042303075 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN000880NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frame of Mind Clinic LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Mind Power Behavioral Services LLC CurrentSince Jun 15, 2023 Accepting new patients
Brain Power Medical Center LLC CurrentSince Jun 15, 2023 Accepting new patients
A Better Option Healthcare Inc Psychiatric/Mental Health CurrentSince Sep 9, 2022 Accepting new patients
Advanced House Calls Inc CurrentSince Sep 9, 2022 Accepting new patients
Summerland Mental Health LLC Psychiatric/Mental Health CurrentSince Jun 10, 2024 Accepting new patients
Brain Power Medical Center LLC CurrentSince Jun 15, 2023 Accepting new patients
Cal Psychiatric Services Psychiatry CurrentSince Aug 31, 2022 Accepting new patients
Noble Behavioral Healthcare Inc Psychiatric/Mental Health PastSince May 1, 2016 Accepting new patients

Locations

3027 E Sunset Rd
Ste 107
Las Vegas, NV 89120
Phone (702) 629-7490

6540 S Pecos Rd
Ste 103A
Las Vegas, NV 89120
Phone (725) 726-8216

4570 S Eastern Ave
Ste 28
Las Vegas, NV 89119
Phone (702) 361-8800

4530 S Eastern Ave
Ste 4
Las Vegas, NV 89119
Phone (702) 476-3345

112 S Jones Blvd
Las Vegas, NV 89107
Phone (702) 838-7110

2400 N Tenaya Way
Ste 131
Las Vegas, NV 89128
Phone (702) 608-6403

Organizations & group practices 10

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1689762122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON ST",
            "address_2": "EIGHT TOWER BRIDGE, STE 1400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282083",
            "telephone_number": "866-825-3227",
            "fax_number": "866-825-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297262",
            "telephone_number": "866-825-3227",
            "fax_number": "866-825-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISKILL",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN000880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING IN PROCESS",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.