Beverly Jo Marien, RN,CNOR, CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

123589 Issued in MO

Practice address

1144 New Ballwin Oaks Dr
Ballwin, MO 63021-4472

Phone

(636) 394-6717

Fax

(636) 394-6717

NPI assigned

Nov 1, 2006

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

Registered Nurse

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 and National Provider Directory roles.

• Surgeon'S Choice LLC

  • Registered Nurse First Assistant
  • Ballwin, MO
  • NPI 1811162696
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942387592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 LINDELL BLVD",
            "address_2": "SUITE 21H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082452",
            "telephone_number": "314-531-1455",
            "fax_number": "314-531-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NEW BALLWIN OAKS DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214472",
            "telephone_number": "636-394-6717",
            "fax_number": "636-394-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIEN",
        "first_name": "BEVERLY",
        "middle_name": "JO",
        "name_prefix": "Prof.",
        "credential": "RN,CNOR, CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "123589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nomana Malik
• Shannon Malon
• Manan Hearing LLC
• Manchester Eye Care, LLC
• Manchester Operator LLC
• Lauren Markovich, OT
• Abigail Markus-Longland, PHARMD
• Duane Marquart, DC,DACBR
• Bianca Martin, M.A. SLP-CF
• Jihan E Masad

• Registered Nurse First Assistant in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Registered Nurse First Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.