Active NPI
Beverly J Miles-Washington
- Specialist
- Naperville, IL
National Provider Identifier
1821341322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 056-001788
- Practice address
- 3115 Saganashkee LN
Naperville, IL 60564-2400 - Phone
- (603) 291-0327
- NPI assigned
- Oct 22, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 056-001788 | IL | Primary |
Addresses
Primary practice location
3115 Saganashkee LN
Naperville, IL 60564-2400
Mailing address
3115 Saganashkee LN
Naperville, IL 60564-2400
Phone (630) 904-6323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225X00000X | Other | IL | HEALTH CARE PROVIDER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-001788 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1821341322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 SAGANASHKEE LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605642400",
"telephone_number": "630-904-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 SAGANASHKEE LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605642400",
"telephone_number": "603-291-0327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES-WASHINGTON",
"first_name": "BEVERLY",
"middle_name": "J",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "056-001788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE PROVIDER",
"identifier": "225X00000X",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.