Active NPI
Melissa Amy Beyer-Thistle, M.S., C.R.N.P.
- Pediatric Nurse Practitioner
- Columbia, MD
National Provider Identifier
1457363129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R095831
- Practice address
- 8821 Columbia 100 Pkwy
Columbia, MD 21045-2168 - Phone
- (410) 964-1056
- Fax
- (410) 740-8315
- NPI assigned
- Aug 12, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R095831 | MD | Primary |
Addresses
Primary practice location
8821 Columbia 100 Pkwy
Columbia, MD 21045-2168
Mailing address
8821 Columbia 100 Pkwy
Columbia, MD 21045-2168
Phone (410) 964-1056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R095831 | Other | MD | REGISTERED NURSE |
Other names 1
- Melissa Amy Beyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457363129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8821 COLUMBIA 100 PKWY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452168",
"telephone_number": "410-964-1056",
"fax_number": "410-740-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8821 COLUMBIA 100 PKWY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452168",
"telephone_number": "410-964-1056",
"fax_number": "410-740-8315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER-THISTLE",
"first_name": "MELISSA",
"middle_name": "AMY",
"credential": "M.S., C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R095831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "R095831",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "BEYER",
"middle_name": "AMY",
"credential": "M.S., C.R.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.