Tracey Beanland, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

1655486 Issued in CO

Practice address

425 North Main Main Street
Dove Creek, CO 81324

Phone

(970) 677-2387

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

• Dolores County Commissioners

  dba Dolores County Public Health

  • Public Health or Welfare Agency
  • Dove Creek, CO
  • NPI 1174772073
  NPD (past)

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1518693274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "DOVE CREEK",
            "state": "CO",
            "postal_code": "813240368",
            "telephone_number": "970-677-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NORTH MAIN MAIN STREET",
            "city": "DOVE CREEK",
            "state": "CO",
            "postal_code": "81324",
            "telephone_number": "970-677-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANLAND",
        "first_name": "TRACEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "1655486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Albin, OTR
• Jennifer Allen, RDH
• Telisa D Armstrong
• William Jacob Brown, DDS
• Jennifer Lynne Conway, NP
• Dolores County Commissioners (Dolores County Public Health)
• Dolores County Health Association
• Dolores County School District Re No.2

• Community Health Registered Nurse in Dove Creek, CO
• Providers in Dove Creek, CO by specialty
• Community Health Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.