Beverly Vance Dobner, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3002674 Issued in KY

Practice address

4 Physicians Park
Frankfort, KY 40601-4181

Phone

(502) 223-8400

Fax

(502) 875-3073

NPI assigned

Jul 18, 2005

Last updated

Feb 15, 2017By 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 2

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1700885266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PHYSICIANS PARK",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014181",
            "telephone_number": "502-223-8400",
            "fax_number": "502-875-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBNER",
        "first_name": "BEVERLY",
        "middle_name": "VANCE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3002674",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1032028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78026747",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201076430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Dial, NP
• Dialysis Clinic Inc.
• Evan Keith Dicken, M.D.
• Petula Ethel Dobbs, D.I.
• Amanda Haynes Dobey
• Joseph J Dobner, MD
• Michele Nicole Doddema, CSW
• Jessica A Dodgen, CSW
• Jessica Dolan, APRN
• Jordan Donahue

• Pediatric Nurse Practitioner in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.