Carrie Dee Beebout, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA052969 Issued in PA

Practice address

323 Budfield St
Johnstown, PA 15904-6905

Phone

(814) 262-9500

Fax

(814) 262-7303

NPI assigned

Jun 18, 2007

Sex

Female

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

Credentials

Physician Assistant

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.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1346445640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159046905",
            "telephone_number": "814-262-9500",
            "fax_number": "814-262-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159046905",
            "telephone_number": "814-262-9500",
            "fax_number": "814-262-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBOUT",
        "first_name": "CARRIE",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Ann Beatty, PA-C
• Lawrence T Beatty, MD
• Nathaniel Brett Beatty, STATE LICENSED FITTE
• Michelle Beck
• Ann Marie Becquet, CRNP
• Laurie Ann Beeman-Demayo, PT
• Beginnings, Inc.
• Christopher J Begley, MD
• Ian Beiber, COTA/L
• John Lawrence Bennett, M.D.

• Medical Physician Assistant in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.