BEVERLY J HARGROVE (NPI# 1417113523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417113523 |
| Entity Type | Individual |
| Full Name | BEVERLY J HARGROVE |
| Credential | APRN |
| Practice Address |
1446 W Moore Ave Ste 206 Terrell TX 75160-2372 |
| Practice Telephone | 9722107350 |
| Practice Fax Number | 9722107355 |
| Mailing Telephone | 9722107350 |
| Mailing Fax Number | 9722107355 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 606422 | TX | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP117038 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1446 W MOORE AVE STE 206 |
| City | TERRELL |
| State | TX |
| Zip Code | 75160-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043259 | Pediatric Depot Pllc | Pediatrics | 1446 W Moore Ave Ste 206, Terrell, TX 75160-2372 | 2019-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888315 | Debra Anne Ofner | Registered Nurse | 900 Morris St, Terrell, TX 75160 | 2018-07-27 |
| 1457837536 | Elyse M Chance | Licensed Vocational Nurse | 455 Heatherlane Circle, Terrell, TX 75160 | 2018-07-12 |
| 1184112542 | Melody Rene Julian | Registered Nurse | 223 Willow Creek Ln, Terrell, TX 75160 | 2018-05-01 |
| 1558776138 | Ivanshu Navinprakash Jain | Psychiatry & Neurology | Terrell State Hospital, 1200 E Brin St, Terrell, TX 75160 | 2014-06-23 |
| 1740535996 | Robert Dominic Recolizado | Physical Therapist | 201 Timber Court, Apt 716, Terrell, TX 75160 | 2012-07-13 |
| 1639436934 | Traci Renee' Longley | Community Health Worker | 15595 Longspur Ln., Terrell, TX 75160 | 2012-04-12 |
| 1275807059 | Sarath C Dwaram | Dentist | 8550 W. Moore Ave, Terrell, TX 75160 | 2012-02-27 |
| 1063745172 | Texas Dentistry for Kids Terrell, Pllc | Dentist | 301 Tanger Dr. Ste# 225, Terrell, TX 75160 | 2009-09-09 |
| 1942375845 | Adapt, Inc. | Durable Medical Equipment & Medical Supplies | 122 Business Circle, Terrell, TX 75160 | 2006-11-24 |
| 1558442616 | Colin M Fairley | Contractor | 122 Buisness Circle, Terrell, TX 75160 | 2006-10-17 |
| Find all providers in zip 75160 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
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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.