Active NPI
Joella Beard, M.D.
- Physical Medicine & Rehabilitation Physician
- Fort Carson, CO
National Provider Identifier
1477680254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4580
- Practice address
- Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913 - Phone
- (719) 524-7173
- NPI assigned
- Feb 27, 2007
- Last updated
- Mar 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4580 | AK | Primary |
Addresses
Primary practice location
Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913
Mailing address
Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD79771 | Medicaid | AK | |
| MD79775 | Medicaid | AK |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Alaska Neurodiagnostic and Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Comprehensive Pain Management,Inc. | Past | Accepting new patients | |
| Rehabilitation & Sports Medicine, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Anchorage, AK
- NPI 1285752857
-
- Specialist
- Wasilla, AK
- NPI 1548483308
-
- Physical Therapist
- Anchorage, AK
- NPI 1194849307
Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Anchorage, AK
- NPI 1609994052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1477680254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIR B7500",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIR B7500",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-524-7173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "JOELLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AK",
"license": "4580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD79771",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD79775",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.