William Levi Beasley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12769 Issued in FL

Practice address

900 State Road 16 Ste 2
Saint Augustine, FL 32084-6567

Phone

(904) 599-7791

NPI assigned

Apr 10, 2019

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastline Spine Chiropractic & Rehab, PLLC

  • Chiropractor
  • St Augustine, FL
  • NPI 1750058889
  Medicare reassignment NPD Authorized official
• Integrative Healthcare Solutions, Inc

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville Beach, FL
  • NPI 1427383215

  Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1548723273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STATE ROAD 16 STE 2",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320846567",
            "telephone_number": "912-389-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STATE ROAD 16 STE 2",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320846567",
            "telephone_number": "904-599-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "WILLIAM",
        "middle_name": "LEVI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ray Beach, PT
• Robert Beach, PHARM.D
• Beachwalk Dental, PA
• Beacon Advanced Practice Group LLC
• Brianna Bean, DPT
• Kendra M Beaton, PA-C
• Ryan Donald Beaton, DPT
• Robert Lee Beck Jr., PHARMD
• Douglas Robert Becker, DPT
• Tyler Joseph Becker

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.