BEVERLY CONNER (NPI# 1922520311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922520311 |
| Entity Type | Individual |
| Full Name | BEVERLY CONNER |
| Credential | FNP |
| Practice Address |
136 Sparks Dr Forest City NC 28043-9021 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 8282886320 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5009665 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Medical Park Dr, Suite 110, Concord, NC 280252948 | 7044036826 | |
| 1021 Morehead Medical Dr, Suite A, Charlotte, NC 282042990 | 9804422000 | |
| 10826 Mallard Creek Rd, Suite 100, Charlotte, NC 282627782 | 7045930244 | |
| 1401 Matthews Township Pkwy, Suite 208, Matthews, NC 281055402 | 7043211002 | |
| 4525 Cameron Valley Pkwy, Suite 3500, Charlotte, NC 282114369 | 7043028300 | |
| 945 N 5th St, Albemarle, NC 280013417 | 9803237790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524552 | Beverly Ann Conner | Homemaker | 356 Country Club Dr, Xenia, OH 45385-1634 | 2020-09-29 |
| Street Address |
136 SPARKS DR |
| City | FOREST CITY |
| State | NC |
| Zip Code | 28043-9021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044165 | Margaret Krusch | Physician Assistant | 136 Sparks Dr, Forest City, NC 28043-9021 | 2005-06-27 |
| 1437311958 | Sini Kalapurakal | Internal Medicine | 136 Sparks Dr, Forest City, NC 28043-9021 | 2008-06-26 |
| 1750582672 | Andrew Delmas | Internal Medicine | 136 Sparks Dr, Forest City, NC 28043-9021 | 2007-05-29 |
| 1114014552 | Matthew Rees | Internal Medicine | 136 Sparks Dr, Forest City, NC 28043-9021 | 2006-10-06 |
| 1164447660 | Donald Townsend | Internal Medicine | 136 Sparks Dr, Forest City, NC 28043-9021 | 2006-07-13 |
| 1912983354 | John Mehanna | Internal Medicine | 136 Sparks Dr, Forest City, NC 28043-9021 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475530 | Lori Hammond West | Pharmacist | 139 East Main St, Forest City, NC 28043 | 2014-07-22 |
| 1982989943 | Hope Care Center, Inc. | Assisted Living Facility | 136 Yelton's Circle, Forest City, NC 28043 | 2011-10-20 |
| 1770804643 | Brandi R Holtsclaw | Physical Therapist | 2270 Us Hwy 74a Suite 341, Onesource Rehab, Forest City, NC 28043 | 2010-06-15 |
| 1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
| 1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
| 1760663058 | Americare Developmental Services | Residential Treatment Facility, Emotionally Disturbed Children | 313 Harrill Rd, Forest City, NC 28043 | 2007-11-15 |
| 1255529038 | Respiratory At Home Plus, Corp. | Durable Medical Equipment & Medical Supplies | 338 Withrow Road, Suite D, Forest City, NC 28043 | 2007-10-05 |
| 1821129362 | K D Support Services / Kelly's Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Us Highway 221a, Forest City, NC 28043 | 2007-03-08 |
| 1407986714 | Americas Living Centers LLC | Custodial Care Facility | 128 Country Meadows Lane, Forest City, NC 28043 | 2007-03-06 |
| 1821157256 | Hopewell Care Inc. | Assisted Living Facility | 141 Fox Run, Forest City, NC 28043 | 2006-12-08 |
| Find all providers in zip 28043 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404421 | Donna Lynn Hewitt | Nurse Practitioner | 249 Oak St, Forest City, NC 28043-3585 | 2017-08-23 |
| 1780107367 | Cynthia Bohacek | Nurse Practitioner | 181 Daniel Rd, Ste A, Forest City, NC 28043-7151 | 2017-07-25 |
| 1720515836 | Jessica Koppen | Nurse Practitioner | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2017-05-19 |
| 1043744386 | Julie Curtis Thorn | Nurse Practitioner | 374 Hudlow Rd, Forest City, NC 28043-9444 | 2017-04-13 |
| 1831550177 | Loretta G. Catton | Nurse Practitioner | 181 Daniel Rd, Rutherford Internal Medicine Associates Suite A, Forest City, NC 28043-7151 | 2016-03-15 |
| 1831559434 | Andrea Anglin Morrissey | Nurse Practitioner | 181 Daniel Rd, Suite A, Forest City, NC 28043-7151 | 2016-02-25 |
| 1437518214 | Pamela Skeels | Nurse Practitioner | 181 Daniel Rd, Forest City, NC 28043-7151 | 2016-02-22 |
| 1508247826 | Tami Ford | Nurse Practitioner | 181 Daniel Rd, Forest City, NC 28043-7151 | 2015-06-11 |
| 1609217793 | Ingrid Sandahl | Nurse Practitioner | 181 Daniel Rd, Forest City, NC 28043-7151 | 2013-07-17 |
| 1609123306 | Casey Wall Southards | Nurse Practitioner | 162 Commercial St, Suite B, Forest City, NC 28043-2849 | 2012-08-13 |
| Find all providers in FOREST CITY | ||||
| City | FOREST CITY |
| Zip Code | 28043 |
Please comment or provide details below to improve the information on BEVERLY CONNER.
| 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.