Individual provider Active NPI

Tabitha Louise Beck, MSN, FNP-BC, CWS

  • Primary Care Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1184459307
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2024035893 Issued in MO
Practice address
1703 NE Baron Dr
Lees Summit, MO 64086-6242
Phone
(816) 263-9300
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024035893 MO
Primary Care Nurse Practitioner 363LP2300X 2024035893 MO Primary

Addresses

Primary practice location

1703 NE Baron Dr
Lees Summit, MO 64086-6242

Mailing address

1703 NE Baron Dr
Lees Summit, MO 64086-6242
Phone (816) 263-9300

Other practice location 1

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404001002 MO Practitioner - Nurse Practitioner 8921522533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Mo LLCGroup PAC ID 1951766559, 85 clinicians
Mosaic Medical Center - MaryvilleGroup PAC ID 3678813896, 76 clinicians

Practice addresses (Care Compare)

17065 S Outer Rd
Belton Regional Medical Emergency Room
Belton, MO 64012-2165
Phone (816) 348-1200

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2525

Hospital & facility affiliations

  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2024035893MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Medical Center - Maryville Family CurrentSince Jun 19, 2025 Accepting new patients
Emergency Medicine Services of Mo, LLC CurrentSince Feb 1, 2025 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Jun 19, 2025 Accepting new patients
Mosaic Medical Center - Maryville Past Accepting new patients

Locations

17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1184459307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 NE BARON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866242",
            "telephone_number": "816-263-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 NE BARON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866242",
            "telephone_number": "816-263-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2016 S Main St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682655",
            "country_code": "US",
            "telephone_number": "660-562-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "TABITHA",
        "middle_name": "LOUISE",
        "credential": "MSN, FNP-BC, CWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024035893",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2024035893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.