Individual provider Active NPI

Beverly M Search, ARNP

  • Nurse Practitioner
  • Castle Rock, WA
National Provider Identifier
1962496083
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30001705 Issued in WA
Practice address
139 1St Ave SW
Castle Rock, WA 98611
Phone
(360) 274-2353
Fax
(360) 274-5354
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00091627 WA
Occupational Health Registered Nurse 163WX0106X RN00091627 WA
Nurse Practitioner 363L00000X AP30001705 WA Primary
Occupational Health Nurse Practitioner 363LX0106X AP30001705 WA

Addresses

Primary practice location

139 1St Ave SW
Castle Rock, WA 98611

Mailing address

PO Box 160
Castle Rock, WA 98611-0160
Phone (360) 274-2353

Other identifiers 4

IdentifierTypeStateIssuer
9602632MedicaidWA
0233520OtherWALABOR & INDUSTRIES
8938465OtherWACRIME VICTIMS
277677MedicaidOR

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN00091627WAMDOccupational Health Registered Nurse
AP30001705WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Pediatrics and Family Wellness Center Past Accepting new patients
Peacehealth Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1962496083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986110160",
            "telephone_number": "360-274-2353",
            "fax_number": "360-274-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 1ST AVE SW",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "98611",
            "telephone_number": "360-274-2353",
            "fax_number": "360-274-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARCH",
        "first_name": "BEVERLY",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00091627",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "WA",
            "license": "RN00091627",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30001705",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "WA",
            "license": "AP30001705",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9602632",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0233520",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8938465",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277677",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.