Individual provider Active NPI

Kyla Marie Beedy, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1083921100
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125790 Issued in TX
Practice address
6700 W 9TH Ave
Amarillo, TX 79106-1701
Phone
(806) 358-0200
Fax
(806) 356-5590
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 724452 TX
Family Nurse Practitioner 363LF0000X AP125790 TX Primary

Addresses

Primary practice location

6700 W 9TH Ave
Amarillo, TX 79106-1701

Mailing address

PO Box 840020
Dallas, TX 75284-0020
Phone (806) 358-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20141222002541 TX Practitioner - Nurse Practitioner 7315260452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1301 S Coulter St
Suite 411
Amarillo, TX 79106-1766
Phone (806) 336-2437

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
724452TXMDRegistered Nurse
AP125790TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beedy Sleep Clinic, PLLC Family CurrentSince Jul 23, 2024 Accepting new patients
Bsa Amarillo Diagnostic Clinic Inc CurrentSince Jul 12, 2014 Accepting new patients

Locations

1301 S Coulter St
Ste 413
Amarillo, TX 79106
Phone (806) 336-2437

1301 S Coulter St
Ste 411
Amarillo, TX 79106
Phone (806) 336-2437

6700 W 9th Ave
Amarillo, TX 79106
Phone (806) 358-0200

Interoperability endpoints

  • Direct secure messaging: kylabeedy@adcpa.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1083921100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840020",
            "telephone_number": "806-358-0200",
            "fax_number": "806-356-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061701",
            "telephone_number": "806-358-0200",
            "fax_number": "806-356-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEDY",
        "first_name": "KYLA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "724452",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.