Beverly Louise Earsing, RD, IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

875748 Issued in FL

Practice address

500 Indiana Ave
Winslow, AZ 86047-2169

Phone

(928) 289-4646

NPI assigned

Apr 13, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2009.

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1972746451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472169",
            "telephone_number": "928-289-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472169",
            "telephone_number": "928-289-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARSING",
        "first_name": "BEVERLY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "RD, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "875748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID, MEDICARE PIN",
            "identifier": "1184729493",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bi Kakou Marc Eric Djassa, PHARMD
• Justin Russell Dorotheo, PHARMD
• Rachel Eileen Dorsey, P.T.
• Natisha Frances Duffy
• Allison Kay Dyer, RN
• Regina Eckhardt, RN
• El Rio Santa Cruz Neighborhood Health Center, Inc.
• Deanna Eldred, PT
• Bill Elliott
• Fred H Elsen, LMSW

• All providers in Winslow, AZ
• Registered Dietitian in Arizona

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