Active NPI
Derenda Marie Beasley, APN
- Psychiatric/Mental Health Nurse Practitioner
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- C-APN.0002135-C-NP
- Practice address
- 1391 Speer Blvd Ste 360
Denver, CO 80204-2632 - Phone
- (303) 720-1845
- NPI assigned
- Jul 12, 2018
- Last updated
- Sep 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-116363 | AL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209018576 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-RXN.0000972-C-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 161408 | MT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0002135-C-NP | CO | Primary |
Addresses
Primary practice location
1391 Speer Blvd Ste 360
Denver, CO 80204-2632
Mailing address
241 Anthony LN
Newton, AL 36352-8418
Phone (334) 648-8779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, SC, MT, FL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-116363 | AL | MD | Family Nurse Practitioner |
| C-APN.0002135-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| C-RXN.0000972-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 161408 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosecrance Inc | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Mastering Minds, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Montana Rescue Mission | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Sinnissippi Centers, Inc. | Current | Accepting new patients | |
| SGMP Southland LLC | Current | Accepting new patients | |
| Roscrance Inc. | Current | Accepting new patients | |
| Sinnissippi Centers, Inc. | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| Southland Behavioral Health Services LLC | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Sinnissippi Centers, Inc. | Current | Accepting new patients | |
| Strock Medical Group LLC | Past | Accepting new patients |
Locations
700 E Cottonwood Rd
Dothan, AL 36301
Phone (334) 793-2120
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552
325 Il Route 2
Dixon, IL 61021
Phone (815) 288-6611
Rte 2 325 Illinois
Dixon, IL 61021
503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917
1321 N 7th St
Rochelle, IL 61068
Phone (815) 562-3801
1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600
1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500
2902 Minnesota Ave
Billings, MT 59101
Phone (406) 259-3800
1135 Gregg Hwy NW
Aiken, SC 29801
Phone (803) 641-7700
2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461
68 Pointe Cir
Ste 3201
Greenville, SC 29615
Phone (864) 479-1212
431 W Martintown Rd
North Augusta, SC 29841
Phone (803) 278-0880
4975 Lacross Rd
Ste 351
North Charleston, SC 29406
Phone (800) 309-1159
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 18
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.
-
dba McDonough Eye Care
- Internal Medicine Physician
- Macomb, IL
- NPI 1609180082
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Billings, MT
- NPI 1235776014
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1013289446
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rochelle, IL
- NPI 1407143837
-
dba Waccamaw Center for Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Conway, SC
- NPI 1356397228
-
- Psychiatric/Mental Health Nurse Practitioner
- Newport, TN
- NPI 1154011617
-
dba MDH Community Pharmacy
- Community/Retail Pharmacy
- Macomb, IL
- NPI 1245098458
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Urbana, IL
- NPI 1457865958
-
dba Rosecrance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1386120343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 ANTHONY LN",
"city": "NEWTON",
"state": "AL",
"postal_code": "363528418",
"telephone_number": "334-648-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1391 SPEER BLVD STE 360",
"city": "DENVER",
"state": "CO",
"postal_code": "802042632",
"telephone_number": "303-720-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "DERENDA",
"middle_name": "MARIE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-116363",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209018576",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-RXN.0000972-C-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MT",
"license": "161408",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-APN.0002135-C-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.