Active NPI
Beth Mary Baykan, NURSE PRACTITIONER
- Women's Health Nurse Practitioner
- Jbsa Lackland, TX
National Provider Identifier
1326030917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN01123
- Practice address
- 1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236 - Phone
- (210) 292-6225
- NPI assigned
- Aug 19, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APRN01123 | RI | Primary |
Addresses
Primary practice location
1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236
Mailing address
1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236-9908
Phone (210) 292-6225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN01123 | Other | RI | WOMEN'S HEALTH NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN01123 | RI | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1326030917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP, BLDG 4554",
"address_2": "ATTN: 59 MDW/SGHC",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782369908",
"telephone_number": "210-292-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP, BLDG 4554",
"address_2": "ATTN: 59 MDW/SGHC",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "78236",
"telephone_number": "210-292-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYKAN",
"first_name": "BETH",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-19",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "RI",
"license": "APRN01123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WOMEN'S HEALTH NURSE PRACTITIONER",
"identifier": "APRN01123",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.