Individual provider Active NPI

Lori R Beale, C.N.M, M.S.N.

  • Advanced Practice Midwife
  • Las Cruces, NM
National Provider Identifier
1174758148
Registry record updated May 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
650 Issued in NM
Practice address
2100 S Triviz Dr
Suite H
Las Cruces, NM 88001-0605
Phone
(575) 522-9793
Fax
(575) 532-9019
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 508545 TX
Advanced Practice Midwife 367A00000X 650 NM Primary

Addresses

Primary practice location

2100 S Triviz Dr
Suite H
Las Cruces, NM 88001-0605

Mailing address

2100 S Triviz Dr
Suite H
Las Cruces, NM 88001-0605
Phone (575) 522-9793

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)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368230400000",
    "number": "1174758148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S TRIVIZ DR",
            "address_2": "SUITE H",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880010605",
            "telephone_number": "575-522-9793",
            "fax_number": "575-532-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S TRIVIZ DR",
            "address_2": "SUITE H",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880010605",
            "telephone_number": "575-522-9793",
            "fax_number": "575-532-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALE",
        "first_name": "LORI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "C.N.M, M.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2013-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "508545",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2013; 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.