Individual provider Active NPI

Randi Leann Beard

  • Family Nurse Practitioner
  • Sheridan, AR
National Provider Identifier
1366054959
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212810 Issued in AR
Practice address
506 Little Creek Cut Off Rd
Sheridan, AR 72150-7798
Phone
(870) 942-3000
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 212810 AR Primary

Addresses

Primary practice location

506 Little Creek Cut Off Rd
Sheridan, AR 72150-7798

Mailing address

PO Box 509
Dermott, AR 71638-0509
Phone (870) 538-5414

Other identifiers 1

IdentifierTypeStateIssuer
249580758MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address randi.beard@mhsi.eclinicaldirectplus.com

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
I20200921000681 AR Practitioner - Nurse Practitioner 7618395864 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
Group practices
Johnathan Lewis MD PLLCGroup PAC ID 2668891763, 4 clinicians

Practice addresses (Care Compare)

430 Magnolia Rd
Camden, AR 71701-4146
Phone (870) 836-4709

Hospital & facility affiliations

  • Ouachita County Medical Center Hospital, Camden, AR, CCN 040050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnathan Lewis MD PLLC Family CurrentSince Dec 15, 2023 Accepting new patients

Locations

430 Magnolia Rd
Camden, AR 71701
Phone (870) 836-4709

Interoperability endpoints

  • Direct secure messaging: randi.beard@mhsi.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1366054959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716380509",
            "telephone_number": "870-538-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LITTLE CREEK CUT OFF RD",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507798",
            "telephone_number": "870-942-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "RANDI",
        "middle_name": "LEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "212810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249580758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randi.beard@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "506 Little Creek Cut Off Rd",
            "city": "Sheridan",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721507798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, AR

Sources for this page

Verify at the official NPI Registry.