Individual provider Active NPI

Lashanda Marie Beamon

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1245692318
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129888 Issued in TX
Practice address
6501 N Mesa St
Suite a
El Paso, TX 79912-4435
Phone
(915) 591-2704
Fax
(915) 225-0413
NPI assigned
Mar 28, 2016
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129888 TX Primary
Family Nurse Practitioner 363LF0000X RN199448 GA

Addresses

Primary practice location

6501 N Mesa St
Suite a
El Paso, TX 79912-4435

Mailing address

1335 Geronimo Dr
El Paso, TX 79925-1836
Phone (915) 591-2704

Other names 1

  • Lashanda Marie Keller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170328002717 TX Practitioner - Nurse Practitioner 1355626607 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN199448GAMDFamily Nurse Practitioner
AP129888TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Touch of Grace Family Medicine PLLC CurrentSince Oct 1, 2020 Accepting new patients
Diagnostic Pro Imaging Past Accepting new patients

Locations

4255 Pleasantview Dr
Unit 210
Arlington, TX 76016
Phone (682) 272-4268

Interoperability endpoints

  • Direct secure messaging: touchofgracefamilymedicine.lashandabeamon@146946.advancedmd-direct.com

Organizations & group practices 3

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1245692318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 GERONIMO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251836",
            "telephone_number": "915-591-2704",
            "fax_number": "915-225-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N MESA ST",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124435",
            "telephone_number": "915-591-2704",
            "fax_number": "915-225-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMON",
        "first_name": "LASHANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129888",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN199448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LASHANDA",
            "last_name": "KELLER",
            "middle_name": "MARIE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.