Charles Blake Beyers

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1063211 Issued in TX

Practice address

2270 La Montana Way
201
Colorado Springs, CO 80918-6715

Phone

(719) 528-3500

NPI assigned

Feb 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Triple Peaks Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colorado Springs, CO
  • NPI 1730598483
  NPD (past)

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1295273274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 KALEB GRV",
            "address_2": "1511",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208221",
            "telephone_number": "719-440-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 LA MONTANA WAY",
            "address_2": "201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186715",
            "telephone_number": "719-528-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYERS",
        "first_name": "CHARLES",
        "middle_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "1063211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyaktive Counseling, LLC
• Gavin Beyer
• Jennifer Lynn Beyer, LCSW
• Kipp Devine Beyerle, OD
• Stella T Beyerly, COTA/L
• Emily Beyhl
• Beyond Beautiful, LLC
• Beyond Da Block Youth Peer Support LLC
• Beyond Speech LLC
• Beyond Words LLC

• Registered Dietitian in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.