Kasie Racquel Beaty, CMA
Individual provider Active NPI Nurse's Aide · Byrdstown, TN
NPI 1215112834 · NPPES record last updated Jan 2, 2008
Key facts
- NPI
- 1215112834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 1013 Woodlawn Dr
Byrdstown, TN 38549-2317 - Phone
- (931) 864-3178
- Fax
- (931) 864-3376
- NPI assigned
- Jan 2, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Medical Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
1013 Woodlawn Dr
Byrdstown, TN 38549-2317
Mailing address
1013 Woodlawn Dr
Byrdstown, TN 38549-2317
Phone (931) 864-3178
Other providers in Byrdstown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.