Patrice A Beaner

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2800 Youree Dr Ste 482
Shreveport, LA 71104-3666

Phone

(318) 455-9030

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1003328154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 ABILENE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 YOUREE DR STE 482",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043666",
            "telephone_number": "318-455-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANER",
        "first_name": "PATRICE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadi Beaini, MD
• Ebony Caprice Beal-Collins
• Lauren Mitchell Beal
• Michael J. Beal, MD
• Calvin Beaner Sr.
• Carrie L. Bearden, MD
• Kenneth Elgin Beatty
• Dominique J. Beaudry, MD
• Kathryn Elizabeth Beauregard-Southerland, D.D.S.
• Beautifli, LLC.

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.