Carolyn Louise Beverly, MD, MPH

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

33750 Issued in IA

Practice address

3024 Deep Woods CT
Des Moines, IA 50320-2818

Phone

(515) 865-4136

NPI assigned

Jul 3, 2013

Last updated

Jul 3, 2013By 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

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Polk County

  dba Polk County Health Department

  • Public Health or Welfare Agency
  • Des Moines, IA
  • NPI 1588674675
  NPD (past)

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1871933812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35153",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503150302",
            "telephone_number": "515-865-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 DEEP WOODS CT",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503202818",
            "telephone_number": "515-865-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "CAROLYN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IA",
            "license": "33750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Better Living Through Chemistry, PLLC
• Carlin Rae Betts
• Amy Beutel, DO
• Todd Beveridge, L.I.S.W.
• Tracey Ann Beveridge, AA
• Aaron Joshua Bewyer, DPT
• Bexlm Transportation LLC
• Beyond Birth, LLC
• Vipin B Bhasvar, M.D.
• BHG Lxxxvi, LLC (BHG Medical Services - Idaho)

• Public Health & General Preventive Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Public Health & General Preventive Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.