Melanie Beacon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

89362 Issued in NC

Practice address

1700 E Ash St Ste 201
Goldsboro, NC 27530-4097

Phone

(919) 583-9329

Fax

(919) 583-9328

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Goldsboro CTC

  • Informatics Clinical Nurse Specialist
  • Goldsboro, NC
  • NPI 1376239590
  NPD
• Ats of North Carolina, LLC

  dba Shelby Comprehensive Treatment Center

  • Methadone Clinic
  • Shelby, NC
  • NPI 1609551688
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1073141701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 201",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "919-583-9329",
            "fax_number": "919-583-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 201",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "919-583-9329",
            "fax_number": "919-583-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACON",
        "first_name": "MELANIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "89362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Nicole Bauer, LCMHC
• Gregory Scott Bauer, M.D.
• Amy P. Baumgartner, OT
• Marvin Baxter, PHYSICIAN ASSISTANT
• Richard Joseph Bazik, CRNA
• Kristen Jo Beaman, FNP
• Cory Duane Bean, MD
• Carl Newton Bean, Jr., DDS
• Crystal Graham Bell
• Erin Leigh Bell, MD

• Licensed Practical Nurse in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.