Beverly Gene Ischia, FAMILY NURSE PRACTIT

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

337598 Issued in NY

Practice address

37 Main St.
Whitesboro, NY 13492

Phone

(315) 736-9337

Fax

(315) 624-5152

NPI assigned

Oct 2, 2006

Last updated

Dec 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1689767204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ROCKPORT RD.",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAIN ST.",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "13492",
            "telephone_number": "315-736-9337",
            "fax_number": "315-624-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISCHIA",
        "first_name": "BEVERLY",
        "middle_name": "GENE",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F300407",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "337598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F300407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Jeanne Hanna, LPN
• Colette Bertrand Hernandez, PHARMD
• Homecare Your Way
• Olivia Renee Honeck, NPP
• Rebecca Hulser, LMHC
• Theresa M Jedrysik, M.S., SPE. ED
• Kimberly Kathryn Jennings, OTR/L
• Jenean Nicole Jessen, LPN
• John F Johnson III, DDS
• Thomas R Joslyn, LCSW

• Family Medicine Physician in Whitesboro, NY
• Providers in Whitesboro, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.