Active NPI
Abigail Beatham, APRN
- Family Nurse Practitioner
- Mason, OH
National Provider Identifier
1073316022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0036951
- Practice address
- 5633 Tylersville Rd Ste B
Mason, OH 45040-2533 - Phone
- (513) 622-9287
- NPI assigned
- Mar 27, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0036951 | OH | Primary |
Addresses
Primary practice location
5633 Tylersville Rd Ste B
Mason, OH 45040-2533
Mailing address
5633 Tylersville Rd Ste B
Mason, OH 45040-2533
Phone (513) 622-9287
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0036951 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1073316022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5633 TYLERSVILLE RD STE B",
"city": "MASON",
"state": "OH",
"postal_code": "450402533",
"telephone_number": "513-622-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 TYLERSVILLE RD STE B",
"city": "MASON",
"state": "OH",
"postal_code": "450402533",
"telephone_number": "513-622-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATHAM",
"first_name": "ABIGAIL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-27",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0036951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.