Individual provider Active NPI

Robert Beaty, RCP, RRT-ACCS, AE-C

  • Critical Care Registered Respiratory Therapist
  • Riviera Beach, FL
National Provider Identifier
1093255986
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X
License
6060 Issued in KY
Practice address
7305 N Military TRL
Riviera Beach, FL 33410-7417
Phone
(502) 812-8457
NPI assigned
Feb 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Registered Respiratory Therapist 2279C0205X 6060 KY Primary
Registered Respiratory Therapist 227900000X 6060 KY
Emergency Care Registered Respiratory Therapist 2279E0002X 6060 KY

Addresses

Primary practice location

7305 N Military TRL
Riviera Beach, FL 33410-7417

Mailing address

225 Hillview Dr
Shelbyville, KY 40065-9729
Phone (502) 812-8457

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

LicenseStateTypeSpecialty
6060KYMDCritical Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1093255986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HILLVIEW DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659729",
            "telephone_number": "502-812-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 N MILITARY TRL",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334107417",
            "telephone_number": "502-812-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "RCP, RRT-ACCS, AE-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "KY",
            "license": "6060",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "KY",
            "license": "6060",
            "primary": false
        },
        {
            "code": "2279E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": "KY",
            "license": "6060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.