Active NPI
Lynette Rae Beadles, OTR
- Occupational Therapist
- Meadow Vista, CA
National Provider Identifier
1285862979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 89503
- Practice address
- 16981 Placer Hills Rd - B-7
Meadow Vista, CA 95722 - Phone
- (530) 878-8129
- Fax
- (530) 878-8195
- NPI assigned
- Jul 1, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 89503 | CA | Primary |
Addresses
Primary practice location
16981 Placer Hills Rd - B-7
Meadow Vista, CA 95722
Mailing address
16981 Placer Hills Rd - B-7
Meadow Vista, CA 95722
Phone (530) 878-8129
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 |
|---|---|---|---|
| 89503 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynette R. Beadles | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Meadow Vista, CA
- NPI 1003017195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1285862979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16981 PLACER HILLS RD - B-7",
"city": "MEADOW VISTA",
"state": "CA",
"postal_code": "95722",
"telephone_number": "530-878-8129",
"fax_number": "530-878-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16981 PLACER HILLS RD - B-7",
"city": "MEADOW VISTA",
"state": "CA",
"postal_code": "95722",
"telephone_number": "530-878-8129",
"fax_number": "530-878-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEADLES",
"first_name": "LYNETTE",
"middle_name": "RAE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "89503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meadow Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.