Betty Jo Vercio, RN, MS, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RE-0896 Issued in GU

Practice address

388 Ypao Rd
Tamuning, GU 96913-3701

Phone

(671) 646-8881

Fax

(671) 648-2565

NPI assigned

Nov 19, 2009

Last updated

Nov 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1962730598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 YPAO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133701",
            "telephone_number": "671-646-8881",
            "fax_number": "671-648-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 YPAO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133701",
            "telephone_number": "671-646-8881",
            "fax_number": "671-648-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCIO",
        "first_name": "BETTY JO",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "GU",
            "license": "RE-0896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helene Duenas Tuncap, PA-C
• Michael Um, M.D.
• Leonora G Urbano, PMHNP
• Tom Serafica Veloria, D.M.D.
• Stephanie Velsmid, RN CNM
• William P. Vercio, M.D.
• Vik Management, Inc (ITC Pharmacy II)
• Vik Management, Inc (ITC Pharmacy I)
• Vik Management, Inc. (ITC Pharmacy I)
• Vik Management, Inc. (ITC Pharmacy II)

• Diabetes Educator Registered Nurse in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Diabetes Educator Registered Nurse in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.