Individual provider Active NPI

Cynthia M Beam, D.C., FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1497941298
Registry record updated Nov 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994807-NP Issued in CO
Practice address
3375 Glenarm Rd Lot 26
Colorado Springs, CO 80911-9729
Phone
(719) 310-2394
NPI assigned
Sep 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR-5786 CO
Family Nurse Practitioner 363LF0000X APN.0994807-NP CO Primary

Addresses

Primary practice location

3375 Glenarm Rd Lot 26
Colorado Springs, CO 80911-9729

Mailing address

3375 Glenarm Rd Lot 26
Colorado Springs, CO 80911-9729
Phone (719) 310-2394

Other practice location 1

2147 N Academy Blvd
Colorado Springs, CO 80909-1507
Phone (719) 638-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MN2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200819002633 CO Practitioner - Nurse Practitioner 3870689185 Reassigns benefits to 1 organization
I20240328003310 MN Practitioner - Nurse Practitioner 3870689185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CHR-5786COMDChiropractor
APN.0994807-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boehm Odorizzi and Mays LLC Family CurrentSince Nov 22, 2020 Accepting new patients
Allina Health System CurrentSince Feb 26, 2024 Accepting new patients
Allina Health System CurrentSince Feb 26, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Delta Waves, Inc. CurrentSince Aug 4, 2020 Accepting new patients
Neural Watch LLC Past Accepting new patients
Delta Waves of Woodland Park Inc PastSince Aug 4, 2020 Accepting new patients

Locations

5835 Lehman Dr
Ste 101
Colorado Springs, CO 80918
Phone (719) 262-9283

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1497941298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 GLENARM RD LOT 26",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809119729",
            "telephone_number": "719-310-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 GLENARM RD LOT 26",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809119729",
            "telephone_number": "719-310-2394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2147 N Academy Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091507",
            "country_code": "US",
            "telephone_number": "719-638-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAM",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "D.C., FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-5786",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994807-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.