Active NPI
Tracy Deon Beech
- Home Modifications Contractor
- Pineville, LA
National Provider Identifier
1245498674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 86283
- Practice address
- 82 Highway 454
Pineville, LA 71360 - Phone
- (318) 443-9388
- Fax
- (318) 445-1544
- NPI assigned
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 86283 | LA | Primary |
Addresses
Primary practice location
82 Highway 454
Pineville, LA 71360
Mailing address
82 Highway 454
Pineville, LA 71360
Phone (318) 443-9388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1168181 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86283 | LA | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1245498674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 HIGHWAY 454",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71360",
"telephone_number": "318-443-9388",
"fax_number": "318-445-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 HIGHWAY 454",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71360",
"telephone_number": "318-443-9388",
"fax_number": "318-445-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEECH",
"first_name": "TRACY",
"middle_name": "DEON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "LA",
"license": "86283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1168181",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.