Individual provider Active NPI

Eunice Jane Beachy, ARNP

  • Adult Health Nurse Practitioner
  • Poulsboe, WA
National Provider Identifier
1447445408
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP30007843 Issued in WA
Practice address
19500 10TH Ave NE
Ste 100
Poulsboe, WA 98370-6331
Phone
(253) 598-7500
Fax
(253) 598-7505
NPI assigned
Sep 12, 2007
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP30007843 WA Primary

Addresses

Primary practice location

19500 10TH Ave NE
Ste 100
Poulsboe, WA 98370-6331

Mailing address

19500 10TH Ave NE
Ste 100
Poulsbo, WA 98370-6331
Phone (360) 598-7500

Other practice location 1

2720 Clare Ave
Suite A
Bremerton, WA 98310-3374
Phone (360) 479-6154

Other identifiers 1

IdentifierTypeStateIssuer
2005138MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebeachy58677@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20110209000248 WA Practitioner - Nurse Practitioner 8527248558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1900 NW Myhre Rd
Silverdale, WA 98383-7662
Phone (564) 240-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30007843WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Harrison Medical Center Past Accepting new patients

Locations

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

2720 Clare Ave
Ste A
Bremerton, WA 98310
Phone (360) 479-6154

19500 10th Ave NE
Ste 100
Poulsbo, WA 98370
Phone (360) 598-7500

1900 NW Myhre Rd
Silverdale, WA 98383
Phone (564) 240-3100

9633 Levin Rd NW
Ste 103
Silverdale, WA 98383
Phone (360) 337-8200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: ebeachy58677@fhsce.catholichealth.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1447445408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 10TH AVE NE",
            "address_2": "STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706331",
            "telephone_number": "360-598-7500",
            "fax_number": "360-598-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 10TH AVE NE",
            "address_2": "STE 100",
            "city": "POULSBOE",
            "state": "WA",
            "postal_code": "983706331",
            "telephone_number": "253-598-7500",
            "fax_number": "253-598-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Clare Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983103374",
            "country_code": "US",
            "telephone_number": "360-479-6154",
            "fax_number": "360-479-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACHY",
        "first_name": "EUNICE",
        "middle_name": "JANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30007843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005138",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebeachy58677@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19500 10th Ave NE",
            "address_2": "Ste 100",
            "city": "Poulsboe",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983706331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.