Individual provider Active NPI

Rose L Beeman, LPN

  • Licensed Vocational Nurse
  • Somerset, PA
National Provider Identifier
1104499334
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
PN235079 Issued in PA
Practice address
224 Twin Lakes Road
Somerset, PA 15501
Phone
(814) 443-3639
Fax
(814) 443-3459
NPI assigned
Jul 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X PN235079 PA Primary

Addresses

Primary practice location

224 Twin Lakes Road
Somerset, PA 15501

Mailing address

543 New Baltimore Rd
Central City, PA 15926-8018
Phone (814) 418-4751

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address beemanrl@upmc.edu Health Information Exchange (HIE)

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
PN235079PAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1104499334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 NEW BALTIMORE RD",
            "city": "CENTRAL CITY",
            "state": "PA",
            "postal_code": "159268018",
            "telephone_number": "814-418-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TWIN LAKES ROAD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-443-3639",
            "fax_number": "814-443-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEMAN",
        "first_name": "ROSE",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "PA",
            "license": "PN235079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beemanrl@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "phone",
            "address_1": "224 Twin Lakes Road",
            "city": "Somerset",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.