Tracy L Beaver, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

28132815A Issued in IN

Practice address

831 Dillon Dr
Richmond, IN 47374-8048

Phone

(765) 983-8000

Fax

(765) 983-8609

NPI assigned

Jan 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1144467705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473750487",
            "telephone_number": "765-983-8000",
            "fax_number": "765-983-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 DILLON DR",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473748048",
            "telephone_number": "765-983-8000",
            "fax_number": "765-983-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28132815A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "28132815A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharna Lynn Baumgart, M.ED., CCC-SLP
• Barbara Baumgartner, LMHC
• Rohit Bawa, MD
• Angela Beaty-Suesz, LCSW
• Kathy Beaver
• Rick L Beck, LCSW; LISWS
• Ashley Nicole Bennett, CMT
• Myla Nicole Bennett, M.D.
• Rebecca M. Bennett, NP-C
• Eric Benns

• Psychiatric/Mental Health Registered Nurse in Richmond, IN
• Providers in Richmond, IN by specialty
• Psychiatric/Mental Health Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.