CHAKITA LAVET BEVERLY (NPI# 1689183246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689183246 |
Entity Type | Individual |
Full Name | CHAKITA LAVET BEVERLY |
Credential | NP-C |
Practice Address |
902 Sgt John A Pittman Dr Greenwood MS 38930-7343 |
Mailing Address |
1101 Mississippi Ave Greenwood MS 38930-5224 |
Practice Telephone | 6624539173 |
Mailing Telephone | 6623743209 |
Enumeration Date | 2017-09-27 |
Last Update Date | 2017-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
902324 | MS | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
902324 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
902324 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | MSBON LICENSE NUMBER | 902324 | 01 |
Street Address |
902 SGT JOHN A PITTMAN DR |
City | GREENWOOD |
State | MS |
Zip Code | 38930-7343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023068723 | Crystal Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 | 2006-05-11 |
1891288940 | Nexion Health At Greenwood, Inc. | Skilled Nursing Facility | 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 | 2018-06-13 |
1033401823 | Joemar R Gongon | Physical Therapist | 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 | 2011-05-11 |
1336464817 | Laura L Wicker | Physical Therapist | 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 | 2010-03-29 |
1225367568 | Crystal Health & Rehab of Greenwood, LLC | Physical Therapist | 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 | 2009-12-16 |
1447589775 | Sacha R Macgown | Occupational Therapist | 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 | 2009-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
Find all providers in zip 38930 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
1679991129 | Annette Jennings Caldwell | Nurse Practitioner | 3971 Sylvania Plantation Road, Greenwood, FL 32443-0017 | 2014-04-02 |
1598327496 | Stephanie Powers Mccall | Nurse Practitioner | 421 Epting Ave, Greenwood, SC 29646-4041 | 2019-07-01 |
1376999516 | Jennifer Cothron | Nurse Practitioner | 333 E County Line Rd, Greenwood, IN 46143-1079 | 2016-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376143024 | Desoto Family Wellness Center, LLC | Nurse Practitioner | 3495 Cobblestone Blvd South, Southaven, MS 38672-3867 | 2020-10-30 |
1760096127 | Sarah Freeman Adams | Nurse Practitioner | 710 Ms -371, Mooreville, MS 38857 | 2020-09-03 |
1295353290 | Ashley Smith Allen | Nurse Practitioner | Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 | 2020-07-07 |
1619591542 | Kristy S. Franks | Nurse Practitioner | 2803 Cobb Stump Rd, Fulton, MS 38843-7391 | 2020-06-06 |
1013543388 | Mallory Elizabeth Boggs | Nurse Practitioner | 159 Fountains Blvd Ste B, Madison, MS 39110-6344 | 2020-03-19 |
1265072821 | Settlemires Family Medical Clinic, LLC | Nurse Practitioner | 3198 Highway 72 W, Corinth, MS 38834-9303 | 2020-01-13 |
1588211916 | Pattye Dorris | Nurse Practitioner | 415 Us Highway 49 N, Tutwiler, MS 38963-5091 | 2019-08-21 |
1457907248 | Tanya Sanderson | Nurse Practitioner | 4208 Ridgemont Drive, Belden, MS 38826 | 2019-08-16 |
1720556319 | Julie Smythe Harper | Nurse Practitioner | 86 Berry Rd, Newhebron, MS 39140-5496 | 2018-11-13 |
1063912046 | Laquania Williams | Nurse Practitioner | 470 County Road 471, Vardaman, MS 38878-9770 | 2018-02-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.