Active NPI
Sallie B Beam, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
National Provider Identifier
1023085461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN2272
- Practice address
- 9263 Medical Plaza Dr
Ste E
Charleston, SC 29406-7112 - Phone
- (843) 572-1228
- Fax
- (877) 561-7564
- NPI assigned
- Mar 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN2272 | SC | Primary |
Addresses
Primary practice location
9263 Medical Plaza Dr
Ste E
Charleston, SC 29406-7112
Mailing address
9263 Medical Plaza Dr
Ste E
Charleston, SC 29406-7112
Phone (843) 572-1228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN009 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN2272 | SC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1023085461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9263 MEDICAL PLAZA DR",
"address_2": "STE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294067112",
"telephone_number": "843-572-1228",
"fax_number": "877-561-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9263 MEDICAL PLAZA DR",
"address_2": "STE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294067112",
"telephone_number": "843-572-1228",
"fax_number": "877-561-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAM",
"first_name": "SALLIE",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APN2272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN009",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.