Active NPI
Deanna Brooke Beard, NP, PPCNP-BC
- Pediatric Nurse Practitioner
- Jacksonville, NC
National Provider Identifier
1073989752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5010057
- Practice address
- 51 Office Park Dr
Jacksonville, NC 28546-7327 - Phone
- (910) 577-5199
- NPI assigned
- Aug 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN73595-PPCNP-BC | WV | |
| Pediatric Nurse Practitioner | 363LP0200X | 5010057 | NC | Primary |
Addresses
Primary practice location
51 Office Park Dr
Jacksonville, NC 28546-7327
Mailing address
51 Office Park Dr
Jacksonville, NC 28546-7327
Phone (910) 577-5199
Other names 1
- Deanna Brooke Hinkle
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010057 | NC | MD | Pediatric Nurse Practitioner |
| APRN73595-PPCNP-BC | WV | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onslow Pediatric Associates, P.a. | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- Jacksonville, NC
- NPI 1073572822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1073989752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 OFFICE PARK DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467327",
"telephone_number": "910-577-5199",
"fax_number": "910-577-3424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 OFFICE PARK DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467327",
"telephone_number": "910-577-5199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "DEANNA",
"middle_name": "BROOKE",
"credential": "NP, PPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WV",
"license": "APRN73595-PPCNP-BC",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5010057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNA",
"last_name": "HINKLE",
"middle_name": "BROOKE",
"credential": "APRN, PPCNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.