Individual provider Active NPI

Beverly Fausett, LPN

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1700108420
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
207544 Issued in NY
Practice address
706 Lefferts Ave
Apt B1
Brooklyn, NY 11203-1052
Phone
(347) 488-4820
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 207544 NY Primary

Addresses

Primary practice location

706 Lefferts Ave
Apt B1
Brooklyn, NY 11203-1052

Mailing address

706 Lefferts Ave
Apt B1
Brooklyn, NY 11203-1052
Phone (347) 488-4820

Other identifiers 1

IdentifierTypeStateIssuer
207544OtherNYNYS NURSING LICENSE LPN

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

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1700108420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LEFFERTS AVE",
            "address_2": "APT B1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031052",
            "telephone_number": "347-488-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 LEFFERTS AVE",
            "address_2": "APT B1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031052",
            "telephone_number": "347-488-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSETT",
        "first_name": "BEVERLY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "207544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS NURSING LICENSE LPN",
            "identifier": "207544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.