Individual provider Active NPI

Daphne B Beech, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1013079490
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6320 Issued in TN
Practice address
1417 Monroe Ave
Memphis, TN 38104-3634
Phone
(901) 690-9149
Fax
(901) 358-9933
NPI assigned
Dec 14, 2006
Last updated
Feb 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6320 TN Primary

Addresses

Primary practice location

1417 Monroe Ave
Memphis, TN 38104-3634

Mailing address

1417 Monroe Ave
Memphis, TN 38104-3634
Phone (901) 690-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090217000692 TN Practitioner - Nurse Practitioner 1759371511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6320TNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip R. Bowden, M.D.,P.a. CurrentSince Jun 24, 2009 Accepting new patients
Advanced Primary Care LLC PastSince Dec 17, 2012 Accepting new patients
Carenow, Inc Past Accepting new patients

Locations

1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200

1717 Kirby Pkwy
Memphis, TN 38120
Phone (901) 272-7200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1013079490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 MONROE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043634",
            "telephone_number": "901-690-9149",
            "fax_number": "901-358-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 MONROE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043634",
            "telephone_number": "901-690-9149",
            "fax_number": "901-358-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECH",
        "first_name": "DAPHNE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.