Active NPI
Deanna Fiegel Bevan, MSN, RN, FNPC
- Family Nurse Practitioner
- Sumter, SC
National Provider Identifier
1720173172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F 74
- Practice address
- Sumter County Health Department
105 North Magnolia St
Sumter, SC 29150 - Phone
- (803) 773-5511
- Fax
- (803) 773-6366
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F 74 | SC | Primary |
Addresses
Primary practice location
Sumter County Health Department
105 North Magnolia St
Sumter, SC 29150
Mailing address
448 Fountain Lake Rd
Columbia, SC 29209-5717
Phone (803) 783-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0538 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F 74 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720173172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 FOUNTAIN LAKE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292095717",
"telephone_number": "803-783-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUMTER COUNTY HEALTH DEPARTMENT",
"address_2": "105 NORTH MAGNOLIA ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-773-5511",
"fax_number": "803-773-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVAN",
"first_name": "DEANNA",
"middle_name": "FIEGEL",
"name_prefix": "Mrs.",
"credential": "MSN, RN, FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "F 74",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0538",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.