Individual provider Active NPI

Amanda A Beecham, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1356975437
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP145308 Issued in TX
Practice address
1501 W 11TH PL Ste 104
Big Spring, TX 79720-4122
Phone
(325) 236-7655
Fax
(325) 236-6290
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP145308 TX Primary

Addresses

Primary practice location

1501 W 11TH PL Ste 104
Big Spring, TX 79720-4122

Mailing address

1501 W 11TH PL Ste 104
Big Spring, TX 79720-4122
Phone (432) 264-2650

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200902001415 TX Practitioner - Nurse Practitioner 3072930239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Texas Centers for MHMRGroup PAC ID 3971587502, 14 clinicians

Practice addresses (Care Compare)

1501 W 11TH PL
Suite 104
Big Spring, TX 79720-4122
Phone (432) 263-0027

Hospital & facility affiliations

  • Reeves Regional Health Hospital, Pecos, TX, CCN 451377

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Centers for MHMR CurrentSince May 29, 2020 Accepting new patients

Locations

409 Runnels St
Big Spring, TX 79720
Phone (432) 264-2650

1501 W 11th Pl
Ste 104
Big Spring, TX 79720
Phone (432) 263-0027

700 W Daggett St
Ste 4
Pecos, TX 79772
Phone (432) 447-2628

1300 26th St
Ste 100
Snyder, TX 79549
Phone (325) 573-4947

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1356975437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 11TH PL STE 104",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204122",
            "telephone_number": "432-264-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 11TH PL STE 104",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204122",
            "telephone_number": "325-236-7655",
            "fax_number": "325-236-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECHAM",
        "first_name": "AMANDA",
        "middle_name": "A",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP145308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.