Stephanie McKinnie Beauchamp, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11005911 Issued in FL

Practice address

100 N Main St
Chattahoochee, FL 32324-1107

Phone

(850) 663-7501

Fax

(850) 669-7588

NPI assigned

Mar 4, 2020

Last updated

Mar 4, 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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Florida Department of Children and Families

  dba Florida State Hospital-Unit 31

  • General Acute Care Hospital
  • Chattahoochee, FL
  • NPI 1710945118
  Medicare reassignment NPD
• Florida Department of Children and Families

  dba Northeast Florida State Hospital

  • Psychiatric Hospital
  • Macclenny, FL
  • NPI 1013931765
  NPD
• Florida Department of Children and Families

  dba Florida State Hospital

  • Psychiatric Hospital
  • Chattahoochee, FL
  • NPI 1578895470
  NPD

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1073148698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7839 HOWELL RD",
            "city": "SNEADS",
            "state": "FL",
            "postal_code": "324603819",
            "telephone_number": "850-557-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241107",
            "telephone_number": "850-663-7501",
            "fax_number": "850-669-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "STEPHANIE",
        "middle_name": "MCKINNIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11005911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond Olatunde Alaka, MD
• Angelcare Helping Hand LLC
• Angelcare With a Vision
• Cristnei Aquino-Vado, PSY.D.
• Adel S Bassel, M.D
• Kimberly Marie Bell
• Majeeda L Bouie
• Bread &Butter Homemaker and Companion Services LLC
• Tiffany Elisabeth Brown, APRN
• Tina Rena Brown

• Psychiatric/Mental Health Nurse Practitioner in Chattahoochee, FL
• Providers in Chattahoochee, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.