Individual provider Active NPI

Stewart Allen Beatty, D.C.

  • Chiropractor
  • Metairie, LA
National Provider Identifier
1174623102
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
981 Issued in LA
Practice address
6601 Veterans Memorial Blvd
Suite 33
Metairie, LA 70003-3943
Phone
(504) 455-2242
Fax
(504) 455-2668
NPI assigned
Sep 22, 2006
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 981 LA Primary

Addresses

Primary practice location

6601 Veterans Memorial Blvd
Suite 33
Metairie, LA 70003-3943

Mailing address

6601 Veterans Memorial Blvd
Suite 33
Metairie, LA 70003-3943
Phone (504) 455-2242

Other identifiers 1

IdentifierTypeStateIssuer
1984141MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060203000026 LA Practitioner - Chiropractic 4183638786 Practice locations: Metairie, LA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6601 Veterans Memorial Blvd
Suite 33
Metairie, LA 70003-3943
Phone (504) 455-2242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
981LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beatty Health and Wellness LLC Chiropractor CurrentSince Aug 11, 2024 Accepting new patients

Locations

6601 Veterans Memorial Blvd
Ste 33
Metairie, LA 70003
Phone (504) 455-2242

6601 Veterans Memorial Blvd
Ste 5
Metairie, LA 70003

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1174623102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 33",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700033943",
            "telephone_number": "504-455-2242",
            "fax_number": "504-455-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 33",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700033943",
            "telephone_number": "504-455-2242",
            "fax_number": "504-455-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "STEWART",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1984141",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.