Gretchen Michelle Beagles, CCP LP

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

LP63 Issued in OK

Practice address

3601 N May Ave
Suite C
Oklahoma City, OK 73112-6641

Phone

(405) 604-5613

Fax

(405) 601-3750

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiovascular Perfusion Alliance LLC

  • Specialist
  • Oklahoma City, OK
  • NPI 1336268770
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1154486629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12815",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572815",
            "telephone_number": "405-604-5613",
            "fax_number": "405-601-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N MAY AVE",
            "address_2": "SUITE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126641",
            "telephone_number": "405-604-5613",
            "fax_number": "405-601-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAGLES",
        "first_name": "GRETCHEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CCP LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "OK",
            "license": "LP63",
            "primary": false
        },
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "OK",
            "license": "LP63",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5993501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "731522080002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Be Here Now Therapy Services LLC
• Be the Change, Inc.
• Jennifer N Beach
• Arthur Douglas Beacham III, D.O.
• Beacon Pointe, LLC
• Wrangler Lee Beal
• Olivia Beall, RDN
• Kelly Stover Beals, R.D./ L.D.
• Carla Renee Beam
• Chester Wray Beam, MD

• All providers in Oklahoma City, OK
• Perfusionist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.