Individual provider Active NPI

Tamika Ann Beecham

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1497011936
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32812 Issued in TN
Practice address
3257 W Sarazens Cir
Memphis, TN 38125-0807
Phone
(901) 590-4106
Fax
(901) 343-0792
NPI assigned
Apr 10, 2012
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32812 TN Primary
Mental Health Counselor 101YM0800X
Registered Nurse 163W00000X R069730 AR

Addresses

Primary practice location

3257 W Sarazens Cir
Memphis, TN 38125-0807

Mailing address

1929 Greenbriar St
Blytheville, AR 72315-7214
Phone (870) 740-5218

Other practice location 1

3201 W. Keiser Ave
Osceola, AR 72370
Phone (870) 622-0592

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R069730ARMDRegistered Nurse
32812TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Associates Group, at Southwind, LLC Mental Health CurrentSince May 21, 2023 Accepting new patients

Locations

3257 W Sarazens Cir
Memphis, TN 38125
Phone (901) 590-4106

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1497011936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 GREENBRIAR ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723157214",
            "telephone_number": "870-740-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 W SARAZENS CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381250807",
            "telephone_number": "901-590-4106",
            "fax_number": "901-343-0792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W. Keiser Ave",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "AR",
            "postal_code": "72370",
            "country_code": "US",
            "telephone_number": "870-622-0592",
            "fax_number": "870-622-0782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEECHAM",
        "first_name": "TAMIKA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32812",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R069730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.