Individual provider Active NPI

Makayla Alexis Beavers

  • Family Nurse Practitioner
  • Columbia, LA
National Provider Identifier
1194611558
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205707 Issued in LA
Practice address
7939 Highway 165
Columbia, LA 71418
Phone
(318) 789-6827
NPI assigned
Jun 13, 2025
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 205707 LA Primary

Addresses

Primary practice location

7939 Highway 165
Columbia, LA 71418

Mailing address

1012 Drane Loop
Extension, LA 71243-4067
Phone (318) 789-6827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20251016004414 LA Practitioner - Nurse Practitioner 3072000512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T and T Klick, LLCGroup PAC ID 8729251244, 3 clinicians

Practice addresses (Care Compare)

107 Lela St
Mangham, LA 71259-5063
Phone (318) 248-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
205707LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T & T Klick, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

107 Lela St
Mangham, LA 71259
Phone (318) 248-4100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGAIBD/Endpoint/EGAIBD

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": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1194611558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 DRANE LOOP",
            "city": "EXTENSION",
            "state": "LA",
            "postal_code": "712434067",
            "telephone_number": "318-789-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 HIGHWAY 165",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "71418",
            "telephone_number": "318-789-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "MAKAYLA",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "205707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

Verify at the official NPI Registry.