Beverly Sann

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-3878 Issued in HI

Practice address

13620 38TH Ave Ste 6D
Flushing, NY 11354-4232

Phone

(718) 886-8998

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1982275475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 ALA IOLANI PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE STE 6D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544232",
            "telephone_number": "718-886-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANN",
        "first_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-108112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sang Kee Pahk MD PC
• Koky Sang, MD
• Sangwoo Mah, D.C., P.C.
• Sanjay Lodha Physician PC
• Sanjeev Agarwal MD PC
• Antoinette Sanon
• Elizabeth Santana, LMSW
• Ziana Santana, PA-C
• Alexandra Santanello
• Vincent Vitus Santangelo, M.D.

• Family Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.