Jill Anne Beverley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

293379 Issued in NY

Practice address

3905 County Route 6
Oswego, NY 13126-6272

Phone

(315) 727-2642

NPI assigned

Sep 30, 2011

Last updated

Sep 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1760766307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 COUNTY ROUTE 6",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266272",
            "telephone_number": "315-727-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 COUNTY ROUTE 6",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266272",
            "telephone_number": "315-727-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLEY",
        "first_name": "JILL",
        "middle_name": "ANNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "293379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeline Barbara Benjamin
• Catherine M Berezowski, OT
• Linsay Elizabeth Bergeron, MSN, FNP-C
• Jeanne Marie Besaw, PT
• Joleyne M Besaw, LMHC
• Nabina Bhattarai
• Rewati Bhattarai
• Shashikant G Bhopale, MD
• Heather Lynn Bianco-Whitcomb
• Heidi Biernacki

• Licensed Practical Nurse in Oswego, NY
• Providers in Oswego, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.