Active NPI
Jodi Marie Beachy, NURSE PRACTITIONER N
- Nurse Practitioner
- Columbus, OH
National Provider Identifier
1255506077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COARX00243
- Practice address
- 5100 W Broad
Columbus, OH 43228 - Phone
- (614) 544-1075
- Fax
- (614) 544-1718
- NPI assigned
- Apr 23, 2008
- Last updated
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COARX00243 | OH | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | NCCBEA104277541 | OH |
Addresses
Primary practice location
5100 W Broad
Columbus, OH 43228
Mailing address
700 Childrens Drive
Columbus, OH 43205
Phone (614) 722-6510
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 |
|---|---|---|---|
| COARX00243 | OH | MD | Nurse Practitioner |
| NCCBEA104277541 | OH | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1255506077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-722-6510",
"fax_number": "614-722-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W BROAD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43228",
"telephone_number": "614-544-1075",
"fax_number": "614-544-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACHY",
"first_name": "JODI",
"middle_name": "MARIE",
"credential": "NURSE PRACTITIONER N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COARX00243",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "OH",
"license": "NCCBEA104277541",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
- Jessica Leigh Beach, MSN, APRN-CNP, FNP-C
- K'Neveia Beach
- Kathryn L Beach, APRN-CNP
- Laura D Beach, CNP
- Thomas Beach
- Kathryn Beachy
- Peyton Zoey Beachy, MD
- Beacon Health Care, LLC
- Beacon Orthopaedics & Sports Medicine LTD (OrthoNeuro DBA OrthoAlliance)
- Beacon Orthopaedics & Sports Medicine, LTD (Ortho Foot and Ankle DBA OrthoAlliance of Ohio)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.