Active NPI
January Lee Beach, APRN-CNP
- Nurse Practitioner
- Newark, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.023351
- Practice address
- 1902 Tamarack Rd
Newark, OH 43055-2303 - Phone
- (220) 564-7975
- Fax
- (220) 564-7976
- NPI assigned
- Jul 31, 2018
- Last updated
- Jan 23, 2024
- 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 | APRN.CNP.023351 | OH | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.023351 | OH |
Addresses
Primary practice location
1902 Tamarack Rd
Newark, OH 43055-2303
Mailing address
1902 Tamarack Rd
Newark, OH 43055-2303
Phone (220) 564-7975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0307823 | Medicaid | OH |
Other names 1
- January L Butcher
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbeach34986@lickingmemorial.medicity.net | Licking Memorial Professional Corporation |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2525 Maple Ave
Suite 1
Zanesville, OH 43701-1896
Phone (740) 454-4778
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.023351 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Group LLC | Current | Accepting new patients | |
| Genesis Medical Group, LLC | Current | Accepting new patients | |
| Licking Memorial Hospital | Current | Accepting new patients | |
| Licking Memorial Professional Corp. | Past | Accepting new patients |
Locations
61353 Southgate Rd
Ste 5
Cambridge, OH 43725
Phone (740) 421-9240
1320 W Main St
Newark, OH 43055
Phone (740) 348-4151
2525 Maple Ave
Ste 1
Zanesville, OH 43701
Phone (740) 453-6554
2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000
945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
Interoperability endpoints
- jbeach@lickingmemorial.medicity.net
Organizations & group practices 4
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.
-
- General Practice Physician
- Zanesville, OH
- NPI 1063663433
-
- Durable Medical Equipment & Medical Supplies
- Coshocton, OH
- NPI 1144022187
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
-
dba Licking Memorial Pediatrics-Utica
- Pediatrics Physician
- Utica, OH
- NPI 1497771521
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Barnesville Hospital
- Critical Access Hospital
- Barnesville, OH
- NPI 1235135450
-
dba Genesis Outpatient Pharmacy
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1477150951
Hospital
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
dba Genesis Outpatient Pharmacy 1C
- Community/Retail Pharmacy
- Coshocton, OH
- NPI 1710839436
Hospital
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1265910384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552303",
"telephone_number": "220-564-7975",
"fax_number": "220-564-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552303",
"telephone_number": "220-564-7975",
"fax_number": "220-564-7976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "JANUARY",
"middle_name": "LEE",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.023351",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN.CNP.023351",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0307823",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbeach34986@lickingmemorial.medicity.net",
"affiliation": "Y",
"affiliationName": "Licking Memorial Professional Corporation",
"address_1": "1320 W Main St",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JANUARY",
"last_name": "BUTCHER",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.