Andrew Beasley

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1616 E Main St
Mesa, AZ 85203-9071

Phone

(480) 477-9199

NPI assigned

Jul 16, 2022

Last updated

Jul 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1538893359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039071",
            "telephone_number": "480-477-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.b@just1.us",
            "affiliation": "N",
            "address_1": "1616 E Main St",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852039071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melody Joy Beall, RBT
• Richard Jason Beals, DNP, PMHNP
• Harold Arthur Beaman, PH.D.
• Jamenia Bean, LMT, MMP
• Katherine Marie Bear, NP
• Euvada Shernaye Beaton, MA, LAC
• Dawn R Beatty-Taylor, MC, LPC, CTNC
• Colleen Ladina Irene Beaufils, APRN, FNP-C
• Leah Beauton
• Heather Jo Beauvais, SLPA

• Peer Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Peer Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.