Peggy Beach, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1052551 Issued in TX

Practice address

4722 Taft Blvd Ste 8
Wichita Falls, TX 76308-4800

Phone

(940) 264-2625

Fax

(940) 264-6401

NPI assigned

Aug 30, 2021

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shehzadi Nagra MD PLLC

  dba Shehzadi Nagra MD

  • Infectious Disease Physician
  • Wichita Falls, TX
  • NPI 1245666759

  Multi-Specialty

  Medicare reassignment NPD
• Shehzadi Nagra MD PLLC

  dba Falls Medical Pharmacy

  • Home Infusion Therapy Pharmacy
  • Wichita Falls, TX
  • NPI 1639760325
  NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1336816040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 TAFT BLVD STE 8",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084800",
            "telephone_number": "940-264-2625",
            "fax_number": "940-264-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 TAFT BLVD STE 8",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084800",
            "telephone_number": "940-264-2625",
            "fax_number": "940-264-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "PEGGY",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "1052551",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1052551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylor County Hospital District (Advanced Rehabilitation and Healthcare of Wichita Falls)
• Baylor County Hospital District (River Oaks Care Center)
• BBWK Enterprises LLC (New Life Home Healthcare Services)
• BBWK Enterprises LLC (New Life Home Healthcare Services)
• BBWK Enterprises, LLC (New Life Home Healthcare Services)
• Jacob Beard
• Joe Beard, PHARM. D
• Marie Elizabeth Beard, PHARM.D
• Samantha Beard, PHARM.D.
• Alicia Michele Beatrice

• Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.

Verify at the official NPI Registry.