Beverly A. Fristad, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

076035964RN Issued in OR

Practice address

412 NE Ford St
McMinnville, OR 97128-4608

Phone

(503) 434-7525

Fax

(503) 434-7549

NPI assigned

May 2, 2007

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

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1942422068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 GARLAND CT N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035640",
            "telephone_number": "503-779-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NE FORD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284608",
            "telephone_number": "503-434-7525",
            "fax_number": "503-434-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISTAD",
        "first_name": "BEVERLY",
        "middle_name": "A.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "076035964RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rose Frey, MOT, OTR/L, QMHP
• Lisa Friberg, DMD
• Ellen G. Frichette, R.N.
• Joel Brian Friedrich, PSS
• Shanta Marie Frisbee, BSW, CADC
• Lauren Frost
• Christopher Fuchs
• Elise Gagnier
• Maria Angela Carpena Galang, M.D.
• Galileo Ancheta Galeon, PHARMD

• Community Health Registered Nurse in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.