Active NPI
Donna S. Beal-Lloyd, FNP-BC
- Primary Care Nurse Practitioner
- Detroit, MI
National Provider Identifier
1083966220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704177424
- Practice address
- 1151 Taylor St
Detroit, MI 48202-1732 - Phone
- (313) 876-4828
- NPI assigned
- Oct 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704177424 | MI | |
| Primary Care Nurse Practitioner | 363LP2300X | 4704177424 | MI | Primary |
Addresses
Primary practice location
1151 Taylor St
Detroit, MI 48202-1732
Mailing address
18254 Midway Ave
Southfield, MI 48075-7137
Phone (248) 569-3105
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704177424 | MI | MD | Family Nurse Practitioner |
Interoperability endpoints
- dbeall@direct.dmc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1083966220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18254 MIDWAY AVE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480757137",
"telephone_number": "248-569-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 TAYLOR ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482021732",
"telephone_number": "313-876-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAL-LLOYD",
"first_name": "DONNA",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704177424",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704177424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.