Beverly Belle Blessing, FNP, PHD

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13796 Issued in CA

Practice address

72780 Country Club Dr
Ste A103
Rancho Mirage, CA 92270-4150

Phone

(760) 779-5511

Fax

(760) 773-3320

NPI assigned

Nov 28, 2006

Last updated

Sep 20, 2018By 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

Other names 1

• Beverly Belle Bernal, Myers Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1982770442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "STE A103",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-775-2650",
            "fax_number": "760-347-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "STE A103",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-779-5511",
            "fax_number": "760-773-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLESSING",
        "first_name": "BEVERLY",
        "middle_name": "BELLE",
        "name_prefix": "Dr.",
        "credential": "FNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "BERNAL, MYERS",
            "middle_name": "BELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leland Paul Black, MD
• Lawrence Burnett Blackmon, D.D.S.
• Kenneth Blake, H.I.S.
• Burton Charles Blaurock, O.D.
• BLC Mirage Inn, L.P. (Brookdale Mirage Inn)
• Jonathan William Blevins, M.D.
• Block Counseling, Family & Child Therapy Inc.
• Blood & Cancer Genetics Institute
• Randy Bloom, FNP-BC
• Richard Stevan Bloom, ASW

• Family Nurse Practitioner in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.