Active NPI
Melissa Osborne Beaver
- Adult Health Nurse Practitioner
- Newton, NC
National Provider Identifier
1477049898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5010721
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181002003852 | NC | Practitioner - Nurse Practitioner | 0244582286 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010721 | NC | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- melissabeaver@pcchcv.allscriptsdirect.net
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.