Individual provider Active NPI

Paula Marie Beikirch, ARNP

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1285778456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1458312 Issued in FL
Practice address
814 N Kentucky Ave
Lakeland, FL 33801-1777
Phone
(863) 687-8475
Fax
(863) 802-1182
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1458312 FL Primary

Addresses

Primary practice location

814 N Kentucky Ave
Lakeland, FL 33801-1777

Mailing address

4915 Deter Rd
Lakeland, FL 33813-2218
Phone (863) 646-5512

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

LicenseStateTypeSpecialty
1458312FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285778456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 DETER RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132218",
            "telephone_number": "863-646-5512",
            "fax_number": "863-802-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N KENTUCKY AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338011777",
            "telephone_number": "863-687-8475",
            "fax_number": "863-802-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIKIRCH",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1458312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.