Active NPI
Beverly J Clymer, CRNP
- Neonatal Nurse Practitioner
- York, PA
National Provider Identifier
1992893028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- SP003707J
- Practice address
- 1001 S George St
York, PA 17403-3676 - Phone
- (717) 851-2613
- Fax
- (717) 851-2602
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | R142088 | MD | |
| Neonatal Nurse Practitioner | 363LN0000X | SP003707J | PA | Primary |
Addresses
Primary practice location
1001 S George St
York, PA 17403-3676
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-2613
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 644407-02 | Other | MD | CAREFIRST MD BCBS |
| 108677 | Other | PA | JOHNS HOPKINS |
| 1572751 | Other | PA | GATEWAY-WMG |
| 50078251 | Other | PA | CAPITAL BLUE CROSS-WMG |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R142088 | MD | MD | Neonatal Nurse Practitioner |
| SP003707J | PA | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1992893028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-2613",
"fax_number": "717-851-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174033676",
"telephone_number": "717-851-2613",
"fax_number": "717-851-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLYMER",
"first_name": "BEVERLY",
"middle_name": "J",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MD",
"license": "R142088",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "PA",
"license": "SP003707J",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "644407-02",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "108677",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1572751",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50078251",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.