Individual provider Active NPI

Johannes Kepler Beard, R.N.

  • Wound Care Registered Nurse
  • Atlanta, GA
National Provider Identifier
1215365499
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
RN105912 Issued in GA
Practice address
550 Peachtree St.
Select Specialty Hospital
Atlanta, GA 30308-2232
Phone
(404) 686-2270
Fax
(404) 686-4518
NPI assigned
Oct 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X RN105912 GA Primary

Addresses

Primary practice location

550 Peachtree St.
Select Specialty Hospital
Atlanta, GA 30308-2232

Mailing address

1 Baltimore Place
Baltimore Building Suite 100
Atlanta, GA 30308-2232
Phone (404) 815-0348

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN105912GAMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1215365499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PLACE",
            "address_2": "BALTIMORE BUILDING SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082232",
            "telephone_number": "404-815-0348",
            "fax_number": "404-249-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST.",
            "address_2": "SELECT SPECIALTY HOSPITAL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082232",
            "telephone_number": "404-686-2270",
            "fax_number": "404-686-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "JOHANNES",
        "middle_name": "KEPLER",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "GA",
            "license": "RN105912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.