Active NPI
Beverly Jean Hunt, ARNP
- Pediatric Nurse Practitioner
- Jupiter, FL
National Provider Identifier
1922195809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP 880892
- Practice address
- 6650 W Indiantown Rd
Suite 110
Jupiter, FL 33458-4628 - Phone
- (561) 575-9876
- Fax
- (561) 575-2858
- NPI assigned
- Oct 10, 2006
- 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 | ARNP 880892 | FL | Primary |
Addresses
Primary practice location
6650 W Indiantown Rd
Suite 110
Jupiter, FL 33458-4628
Mailing address
6650 W Indiantown Rd
Suite #110
Jupiter, FL 33458-4628
Phone (561) 575-9876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305525600 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 880892 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip Colaizzo M.D., P.a. | 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.
-
- Rural Health Clinic/Center
- Pahokee, FL
- NPI 1356376867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1922195809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 W INDIANTOWN RD",
"address_2": "SUITE #110",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584628",
"telephone_number": "561-575-9876",
"fax_number": "561-575-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 W INDIANTOWN RD",
"address_2": "SUITE 110",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584628",
"telephone_number": "561-575-9876",
"fax_number": "561-575-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "BEVERLY",
"middle_name": "JEAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP 880892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305525600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.