Active NPI
Beverly H Chandler, ARNP
- Pediatric Nurse Practitioner
- Panama City, FL
National Provider Identifier
1841327038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP3115452
- Practice address
- 621 W Baldwin Rd Ste a
Ste 102
Panama City, FL 32405-3364 - Phone
- (850) 747-3661
- NPI assigned
- Feb 27, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP3115452 | FL | Primary |
Addresses
Primary practice location
621 W Baldwin Rd Ste a
Ste 102
Panama City, FL 32405-3364
Mailing address
621 W Baldwin Rd
Panama City, FL 32405
Phone (850) 747-3661
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306190600 | Medicaid | FL | |
| 11576 | Other | FL | BCBS |
Other names 1
- Mrs. Beverly Crawford
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 |
|---|---|---|---|
| ARNP3115452 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Coast Pediatrics & Adolescents | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Panama City, FL
- NPI 1790130250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1841327038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W BALDWIN RD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-747-3661",
"fax_number": "850-747-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W BALDWIN RD STE A",
"address_2": "STE 102",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053364",
"telephone_number": "850-747-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "BEVERLY",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP3115452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306190600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "11576",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEVERLY",
"last_name": "CRAWFORD",
"prefix": "MRS.",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.