Individual provider Active NPI

Katharine Elizabeth Beach, MSN, RN, FNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1437397163
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.13710-NP Issued in OH
Practice address
3740 W Sylvania Ave
Suite 250
Toledo, OH 43623-4461
Phone
(419) 473-6670
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.328171 OH
Family Nurse Practitioner 363LF0000X COA.13710-NP OH Primary

Addresses

Primary practice location

3740 W Sylvania Ave
Suite 250
Toledo, OH 43623-4461

Mailing address

23934 W Meadow Dr
Genoa, OH 43430-1032
Phone (419) 306-5330

Other identifiers 2

IdentifierTypeStateIssuer
COA.13710-NPOtherOHSTATE OF OHIO BOARD OF NURSING
RX-13710-EX1OtherOHPRESCRIPTIVE AUTHORITY - EXTERNSHIP

Other names 1

  • Ms. Katharine Elizabeth Belcher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20141110001234 OH Practitioner - Nurse Practitioner 4880816701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.328171OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Zepf Center CurrentSince Sep 23, 2014 Accepting new patients
Zepf Center CurrentSince Sep 23, 2014 Accepting new patients
The Pediatric Center, Inc. Past Accepting new patients

Locations

6605 W Central Ave
Ste 100
Toledo, OH 43617
Phone 41984177012235

905 Nebraska Ave
Toledo, OH 43607
Phone (419) 244-8848

2272 Collingwood Blvd
Toledo, OH 43620
Phone (419) 255-4050

6605 W Central Ave
Toledo, OH 43617
Phone (419) 255-4050

2005 Ashland Ave
Toledo, OH 43620
Phone (419) 255-3040

Organizations & group practices 3

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1437397163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23934 W MEADOW DR",
            "city": "GENOA",
            "state": "OH",
            "postal_code": "434301032",
            "telephone_number": "419-306-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W SYLVANIA AVE",
            "address_2": "SUITE 250",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234461",
            "telephone_number": "419-473-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "KATHARINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.328171",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13710-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO BOARD OF NURSING",
            "identifier": "COA.13710-NP",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE AUTHORITY - EXTERNSHIP",
            "identifier": "RX-13710-EX1",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "BELCHER",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MSN, RN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.