Active NPI
Heidi M Beal, RN
- Hemodialysis Registered Nurse
- Riverview, FL
National Provider Identifier
1275823593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hemodialysis Registered Nurse
- License
- 9319196
- Practice address
- 10303 Avelar Ridge Drive
Riverview, FL 33578 - Phone
- (216) 647-4594
- Fax
- (813) 671-5492
- NPI assigned
- Apr 8, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hemodialysis Registered Nurse | 163WH0500X | 9319196 | FL | Primary |
Addresses
Primary practice location
10303 Avelar Ridge Drive
Riverview, FL 33578
Mailing address
10303 Avelar Ridge Drive
Riverview, FL 33578
Phone (216) 647-4594
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9319196 | FL | MD | Hemodialysis Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1275823593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10303 AVELAR RIDGE DRIVE",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "33578",
"telephone_number": "216-647-4594",
"fax_number": "813-671-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10303 AVELAR RIDGE DRIVE",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "33578",
"telephone_number": "216-647-4594",
"fax_number": "813-671-5492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAL",
"first_name": "HEIDI",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "FL",
"license": "9319196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.