Individual provider Active NPI

Gary Beerman, PA-C/ARNP

  • Family Nurse Practitioner
  • Kirkland, WA
National Provider Identifier
1497855308
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30000996 Issued in WA
Practice address
3100 Carillon PT
Kirkland, WA 98033-7306
Phone
(425) 576-1700
Fax
(425) 827-7725
NPI assigned
Sep 22, 2006
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10003561 WA
Family Nurse Practitioner 363LF0000X AP30000996 WA Primary

Addresses

Primary practice location

3100 Carillon PT
Kirkland, WA 98033-7306

Mailing address

625 4TH Ave
Ste 301
Kirkland, WA 98033-9028
Phone (425) 576-1700

Other identifiers 2

IdentifierTypeStateIssuer
114811OtherWALABOR AND INDUSTRIES
9602673MedicaidWA

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
PA10003561WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bourget Health Services Inc Past Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients

Organizations & group practices 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1497855308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 4TH AVE",
            "address_2": "STE 301",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980339028",
            "telephone_number": "425-576-1700",
            "fax_number": "425-827-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CARILLON PT",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337306",
            "telephone_number": "425-576-1700",
            "fax_number": "425-827-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERMAN",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "PA-C/ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003561",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30000996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "114811",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9602673",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.