Beyond Health LLC
Organization Active NPI Family Nurse Practitioner · Middlebury, CT
NPI 1013734011 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1013734011
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- BEYOND HEALTH LLC
- Practice address
- 687 Straits Tpke Ste 1C
Middlebury, CT 06762-2846 - Phone
- (203) 257-6455
- NPI assigned
- Sep 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Mariel Reid, APRN
- Title
- Managing Member
- Phone
- (203) 257-6455
Practitioners 1
-
Mariel Reid, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2307245 | Beyond Health LLC | Certificate of waiver | Jul 2, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250206000811 | CT | Part B Supplier - Clinic/Group Practice | 7315477346 |
Receives reassigned benefits from 1 practitioner Practice locations: Middlebury, CT |
National Provider Directory
Locations
687 Straits Tpke
Ste 1C
Middlebury, CT 06762
Phone (203) 408-2420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
687 Straits Tpke Ste 1C
Middlebury, CT 06762-2846
Mailing address
826 Maple Hill Rd
Naugatuck, CT 06770-4837
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All providers in Middlebury, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.