Active NPI
Taylor Anne Beall
- Pediatrics Physician
- Hutto, TX
National Provider Identifier
1043741564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- S5553
- Practice address
- 123 Ed Schmidt Blvd Ste 140
Hutto, TX 78634-5586 - Phone
- (877) 800-5722
- NPI assigned
- Mar 26, 2017
- Last updated
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | S5553 | TX | Primary |
Addresses
Primary practice location
123 Ed Schmidt Blvd Ste 140
Hutto, TX 78634-5586
Mailing address
205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone (877) 800-5722
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | taylor.beall.p1@direct.lscctx.nextgenshare.com |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S5553 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austex Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Austin, TX
- NPI 1144415803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1043741564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E UNIVERSITY AVE STE 200",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786266821",
"telephone_number": "877-800-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 ED SCHMIDT BLVD STE 140",
"city": "HUTTO",
"state": "TX",
"postal_code": "786345586",
"telephone_number": "877-800-5722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALL",
"first_name": "TAYLOR",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-26",
"last_updated": "2022-02-11",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S5553",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "taylor.beall.p1@direct.lscctx.nextgenshare.com",
"affiliation": "N",
"address_1": "123 Ed Schmidt Blvd Ste 140",
"city": "Hutto",
"state": "TX",
"country_code": "US",
"postal_code": "786345586",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hutto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.