Organization Active NPI

K-Beach Medical Inc.

  • Family Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1376066993
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
K-BEACH MEDICAL INC.
Practice address
43335 Kalifornsky Beach Rd Ste 18
Soldotna, AK 99669-8250
Phone
(907) 953-8040
NPI assigned
Jul 25, 2017
Last updated
Jul 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Robert McRorie Jr., PANPI 1972906899
Title
President
Phone
(907) 953-8040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

43335 Kalifornsky Beach Rd Ste 18
Soldotna, AK 99669-8250

Mailing address

43335 Kalifornsky Beach Rd Ste 18
Soldotna, AK 99669-8250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170907000857 AK Part B Supplier - Clinic/Group Practice 2466725882 Receives reassigned benefits from 3 practitioners
Practice locations: Soldotna, AK

National Provider Directory

National Provider Directory

Locations

43335 Kalifornsky Beach Rd
Ste 18
Soldotna, AK 99669
Phone (907) 262-9993

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1376066993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43335 KALIFORNSKY BEACH RD STE 18",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43335 KALIFORNSKY BEACH RD STE 18",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698250",
            "telephone_number": "907-953-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-BEACH MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "MCRORIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-953-8040",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.