Active NPI 1275529430 Individual Practitioner Female Practitioner

Beverly A Smith , FNP

Nurse Practitioner - Pediatrics • Davenport, IA

Professional Overview & Biography Verified Profile Summary

Beverly Smith, FNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Davenport, IA. Practice services are available at 500 W RIVER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 W River Dr

Davenport, IA 528011014

Telephone 5633363000

Fax 5633363044

Associated Practice Facility / Clinic

🏢 Community Health Care, Inc. Facility NPI 1932193224

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Davenport, IA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.5 Yrs

State Avg: 6.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Davenport, IA (224 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IA C030799

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Upin

S53434

Commercial Insurance / Payer ID Ia Bcbs Seen In Davenport

02874 (IA)

Commercial Insurance / Payer ID John Deere Health

42106072440 (IA)

Commercial Insurance / Payer ID John Deere Edi#

IA0140 (IA)

Commercial Insurance / Payer ID Ia Bcbs Seen In Moline

93327 (IA)

Commercial Insurance / Payer ID Ia Bcbs Seen In Ri

93357 (IA)

Commercial Insurance / Payer ID Health Alliance

079471

Commercial Insurance / Payer ID Controlled Substance#

5200098 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Stephanie Witherow , FNP

Nurse Practitioner - Family

NPI 1003224585

Family Nurse Practitioner

Courtney Legendre , FNP

Nurse Practitioner - Family

NPI 1003956871

Family Nurse Practitioner

Dr. Kylie Resnick , DDS

Dentist - General Practice

NPI 1023900941

Doctor of Dental Surgery

Dr. John Leno , MD FACOG

Obstetrics & Gynecology

NPI 1043216286

MDFACOG

Dr. Linda Ozaki , MD

Pediatrics

NPI 1053305003

Doctor of Medicine (M.D.)

Carrie Braet , PNP

Nurse Practitioner - Pediatrics

NPI 1073999868

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 500 W RIVER DR, DAVENPORT, IA 528011014 (Tel: 5633363000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 500 W RIVER DR, DAVENPORT, IA 528011014 (Tel: 5633363000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BEVERLY SMITH, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #C030799 in IA)

🟢

Initial NPI Registration & Enumeration September 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275529430

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 23, 2005

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

500 W River Dr

Davenport, IA 528011014

Phone: 5633363000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.