Nina Elizabeth Beasley
Individual provider Active NPI Rehabilitation Practitioner · Altadena, CA
NPI 1093357782 · NPPES record last updated Oct 14, 2019
Key facts
- NPI
- 1093357782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 760 Mountain View St
Altadena, CA 91001-4996 - Phone
- (626) 798-6793
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
760 Mountain View St
Altadena, CA 91001-4996
Mailing address
760 Mountain View St
Altadena, CA 91001-4996
Phone (626) 798-6793
Other providers in Altadena, CA
- Edith Joellen Ballard
- Michaela Ballmann
- Ballsbridge Academy Inc Behavior and Education Center
- Ahmad Barnes
- Francetta Barth
- Francine Crapuchettes Beauvoir
- Elena Becerril-Johansen
- Diane Beekman
- Jessica Bennett
- Nathalie Bernabe
All providers in Altadena, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.