Judi Bean, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP93A Issued in ID

Practice address

1139 E. Winding Creek Drive
Eagle, ID 83616

Phone

(208) 938-8887

Fax

(208) 938-8897

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Juliana Bean Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Keystone Center for Geriatrics LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Boise, ID
  • NPI 1376211268
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1477589216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E REGATTA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E. WINDING CREEK DRIVE",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-938-8887",
            "fax_number": "208-938-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "JUDI",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP93A",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "WA",
            "license": "AP30001704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805183900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANA",
            "last_name": "BEAN",
            "prefix": "MS.",
            "credential": "N.P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bashaw Creek Healthcare LLC
• Bay Beach Senior Living LLC
• Baywood Healthcare LLC
• Baywood Healthcare LLC
• Beach City Senior Living LLC
• Spring Chumani Bean, RD
• Christopher Boyd Bell, PA
• Kami Crnich Bellomy, FNP-C
• Grant B Belnap, MD
• Gideon Bender

• All providers in Eagle, ID
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.