DR. CAROLYN LOUISE BEVERLY (NPI# 1871933812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871933812 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN LOUISE BEVERLY |
| Credential | MD, MPH |
| Practice Address |
3024 Deep Woods Ct Des Moines IA 50320-2818 |
| Mailing Address |
Po Box 35153 Des Moines IA 50315-0302 |
| Practice Telephone | 5158654136 |
| Mailing Telephone | 5158654136 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
33750 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356715197 | Carolyn Elaine Beverly | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 716 Fitzlee St, Glasgow, VA 24555-2530 | 2015-11-17 |
| Street Address |
3024 DEEP WOODS CT |
| City | DES MOINES |
| State | IA |
| Zip Code | 50320-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740694272 | Riverwoods Terrace, LLC | Assisted Living Facility | 2210 East Park Avenue, Des Moines, IA 50320 | 2014-06-12 |
| 1437205663 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6351 S.e. 14th, Des Moines, IA 50320 | 2007-01-29 |
| 1922584127 | Alyssa Happe | Registered Nurse | 2353 Se 14th St, Des Moines, IA 50320 | 2018-07-11 |
| 1023491206 | April Winters | Family Medicine | 2353 Se 14th St, Des Moines, IA 50320 | 2015-07-07 |
| 1063691962 | Keith A Colwell Dds PC | Dentist | 6057 Se 14th St, Des Moines, IA 50320 | 2007-10-26 |
| 1528110467 | Mosaic | Intermediate Care Facility, Mentally Retarded | 3206 Se 20th Street, Des Moines, IA 50320-0000 | 2007-01-18 |
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1841286804 | Courtney Gillis Palmer | Social Worker | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2005-09-26 |
| 1205495413 | Elizabeth Pfaff Thompson | Physician Assistant | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-06-11 |
| 1922563063 | Brooke Aletta Raney | Nurse Practitioner | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-02-03 |
| Find all providers in zip 50320 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063770576 | Caitlin Siobhan Pedati | Preventive Medicine | 321 E 12th St Fl 5, Des Moines, IA 50319-1002 | 2012-05-03 |
| 1962644559 | M. Patricia Quinlisk | Preventive Medicine | 321 E 12th St, Lucas State Office Building, Des Moines, IA 50319-1002 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
| 1588833990 | Phuong D Nguyen | Preventive Medicine | 103 62nd Street, West Des Moines, IA 50266-5842 | 2008-02-29 |
| 1619518586 | Passport Health Holdings, LLC | Preventive Medicine | 2435 Kimberly Rd, Suite 140, South Bettendorf, IA 52722-3509 | 2019-10-02 |
| 1093108201 | Wright County | Preventive Medicine | 115 1st St Se, Clarion, IA 50525-1401 | 2015-03-12 |
| 1366871550 | Passport Health Holdings LLC | Preventive Medicine | 950 Office Park Rd, Ste 200b, West Des Moines, IA 50265-2548 | 2013-11-07 |
| 1598725863 | Charles Ross Buck | Preventive Medicine | 540 E Jefferson St, Suite 205, Iowa City, IA 52245-2479 | 2006-03-23 |
| 1922077064 | Mahaska County Hospital | Preventive Medicine | 1229 C Ave E, Oskaloosa, IA 52577-4298 | 2006-03-14 |
| City | DES MOINES |
| Zip Code | 50320 |
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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.