Individual provider Active NPI

Beverly Jean Allison, ARNP

  • Nurse Practitioner
  • Winter Garden, FL
National Provider Identifier
1750528402
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9197037 Issued in FL
Practice address
14643 Old Thicket Trce
Winter Garden, FL 34787-6255
Phone
(407) 347-8291
NPI assigned
Jan 17, 2009
Last updated
Jan 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9197037 FL Primary

Addresses

Primary practice location

14643 Old Thicket Trce
Winter Garden, FL 34787-6255

Mailing address

14643 Old Thicket Trce
Winter Garden, FL 34787-6255
Phone (407) 347-8291

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

State licenses

LicenseStateTypeSpecialty
9197037FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Emergency Physicians LLC Past Accepting new patients
Sabal Palm Emergency Physicians Past Accepting new patients
Seniorcare USA LLC PastSince Mar 11, 2025 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232150400000",
    "number": "1750528402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14643 OLD THICKET TRCE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876255",
            "telephone_number": "407-347-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14643 OLD THICKET TRCE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876255",
            "telephone_number": "407-347-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "BEVERLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-17",
        "last_updated": "2009-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9197037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; 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.