Individual provider Active NPI

Melissa Osborne Beaver

  • Adult Health Nurse Practitioner
  • Newton, NC
National Provider Identifier
1477049898
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5010721 Issued in NC
Practice address
3975 Robinson Rd
Newton, NC 28658-9715
Phone
(828) 466-0466
Fax
(828) 466-8862
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010721 NC
Gerontology Nurse Practitioner 363LG0600X 5010721 NC
Primary Care Nurse Practitioner 363LP2300X 5010721 NC
Adult Health Nurse Practitioner 363LA2200X 5010721 NC Primary

Addresses

Primary practice location

3975 Robinson Rd
Newton, NC 28658-9715

Mailing address

3975 Robinson Rd
Newton, NC 28658-9715
Phone (828) 466-0466

Other practice location 1

301 E Centerview St
China Grove, NC 28023-2554
Phone (828) 466-0599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbeaver@carolinacaring.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181002003852 NC Practitioner - Nurse Practitioner 0244582286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5010721NCMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: melissabeaver@pcchcv.allscriptsdirect.net
  • Direct secure messaging: melissa.beaver@1020466096308228.direct.elationemr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1477049898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 ROBINSON RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589715",
            "telephone_number": "828-466-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 ROBINSON RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589715",
            "telephone_number": "828-466-0466",
            "fax_number": "828-466-8862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Centerview St",
            "address_purpose": "LOCATION",
            "city": "China Grove",
            "state": "NC",
            "postal_code": "280232554",
            "country_code": "US",
            "telephone_number": "828-466-0599",
            "fax_number": "828-466-8862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "MELISSA",
        "middle_name": "OSBORNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010721",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5010721",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5010721",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5010721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbeaver@carolinacaring.org",
            "affiliation": "N",
            "address_1": "3975 Robinson Rd",
            "city": "Newton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286589715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.