Active NPI
Eunice Jane Beachy, ARNP
- Adult Health Nurse Practitioner
- Poulsboe, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30007843
- 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, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005138 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007843 | WA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | 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
- 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.
-
dba Franciscan Orthopedics-Silverdale
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
dba The Doctors Clinic, A Part of the Franciscan Medical Group
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
dba Franciscan Medical Clinic-Gig Harbor
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
-
dba Harrison Urgent Care
- Urgent Care Clinic/Center
- Port Orchard, WA
- NPI 1679613244
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.