Individual provider Active NPI

Mary Josephine Bever

  • Registered Nurse
  • Fort Bragg, CA
National Provider Identifier
1962308213
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
466574 Issued in CA
Practice address
32880 Boice LN
Fort Bragg, CA 95437-8387
Phone
(707) 972-7519
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 466574 CA Primary

Addresses

Primary practice location

32880 Boice LN
Fort Bragg, CA 95437-8387

Mailing address

PO Box 1941
Fort Bragg, CA 95437-1941
Phone (707) 468-7778

Other practice location 1

630 Kings Ct
Ukiah, CA 95482-5003
Phone (707) 468-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1962308213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1941",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954371941",
            "telephone_number": "707-468-7778",
            "fax_number": "707-468-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32880 BOICE LN",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954378387",
            "telephone_number": "707-972-7519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Kings Ct",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825003",
            "country_code": "US",
            "telephone_number": "707-468-7700",
            "fax_number": "707-468-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVER",
        "first_name": "MARY",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "466574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.