Dornisha M Beaner, LMT

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

004498 Issued in GA

Practice address

3161 Howell Mill Rd
Suite 410
Atlanta, GA 30327-0321

Phone

(404) 352-4200

Fax

(404) 352-5200

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spine Center Atlanta Rehabilitation & Wellness Center, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1487838900
  NPD (past)

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1225357569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92321",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303140321",
            "telephone_number": "770-841-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HOWELL MILL RD",
            "address_2": "SUITE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303270321",
            "telephone_number": "404-352-4200",
            "fax_number": "404-352-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANER",
        "first_name": "DORNISHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "004498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Bean, CNP
• Marguerite Edmonds Bean
• Perry J Bean, PSYD
• Rachel Mulligan Bean, M.D.
• Ryckel Ryanne Bean
• Amy Lewis Bear, LPC
• Sheryl G Bear, PHD
• Jasna Ikanovic Beard, MD
• Johannes Kepler Beard, R.N.
• Ruth J. Beard, LCSW

• Reflexologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Reflexologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.