Organization Active NPI

Dr. Betsy Leveritt, D.O.,

  • Dermatology Physician
  • Cocoa Beach, FL
National Provider Identifier
1861884173
Registry record updated Jan 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DR. BETSY LEVERITT, D.O.,
Practice address
80 Woodland Ave
Cocoa Beach, FL 32931-2854
Phone
(321) 768-1600
NPI assigned
Feb 24, 2015
Last updated
Jan 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2017

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

Authorized official

Name
Dr. Betsy Leveritt, D.O.
Title
Dermatologist
Phone
(321) 768-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

80 Woodland Ave
Cocoa Beach, FL 32931-2854

Mailing address

80 Woodland Ave
Cocoa Beach, FL 32931-2854
Phone (321) 768-1600

National Provider Directory

National Provider Directory

Locations

80 Woodland Ave
Cocoa Beach, FL 32931
Phone (321) 768-1600

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485648000000",
    "number": "1861884173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WOODLAND AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312854",
            "telephone_number": "321-768-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WOODLAND AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312854",
            "telephone_number": "321-768-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BETSY LEVERITT, D.O.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2017-01-29",
        "status": "A",
        "authorized_official_last_name": "LEVERITT",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "321-768-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.