Active NPI
Makayla Alexis Beavers
- Family Nurse Practitioner
- Columbia, LA
National Provider Identifier
1194611558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 205707
- Practice address
- 7939 Highway 165
Columbia, LA 71418 - Phone
- (318) 789-6827
- NPI assigned
- Jun 13, 2025
- Last updated
- Oct 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 205707 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T & T Klick, LLC | Current | Accepting new patients |
Locations
107 Lela St
Mangham, LA 71259
Phone (318) 248-4100
Interoperability endpoints
- 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
- Briana Allen
- Jenna Danell Allen, M.S., CCC-SLP
- Another Chance Enterprise, Inc. (Another Chance Enterprise Adult Services)
- Attentive Hands
- Rachel Blair Barnhill, MOT, LOTR
- Monica Ben, RSW
- Bio-Medical Applications of Louisiana, LLC (Dialysis Services Caldwell Parish)
- Madison Strain Black
- Dawn Blackwell
- Bethany Mitchell Braddock, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.