Individual provider Active NPI

Alexis Cheyenne Beard, APRN

  • Family Nurse Practitioner
  • Benton, AR
National Provider Identifier
1356104228
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227571 Issued in AR
Practice address
6640 Congo Rd
Benton, AR 72019-6913
Phone
(501) 794-4110
NPI assigned
Feb 2, 2024
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 227571 AR Primary

Addresses

Primary practice location

6640 Congo Rd
Benton, AR 72019-6913

Mailing address

681 Lucy LN
Alexander, AR 72002-7053
Phone (501) 762-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20240308000541 AR Practitioner - Nurse Practitioner 6901242361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

824 Military Rd
Benton, AR 72015-3347
Phone (501) 574-3019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
227571ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Family Practice Clinic,PA CurrentSince Feb 4, 2024 Accepting new patients

Locations

6640 Congo Rd
Benton, AR 72019
Phone (501) 794-4110

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1356104228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 LUCY LN",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720027053",
            "telephone_number": "501-762-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 CONGO RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720196913",
            "telephone_number": "501-794-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "ALEXIS",
        "middle_name": "CHEYENNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "227571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.