Active NPI
Debra Baker Beasley, FNP
- Family Nurse Practitioner
- Lumberton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200855
- Practice address
- 4901 Dawn Dr Ste 3200
Lumberton, NC 28360-8288 - Phone
- (910) 735-8040
- NPI assigned
- Sep 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200855 | NC | Primary |
Addresses
Primary practice location
4901 Dawn Dr Ste 3200
Lumberton, NC 28360-8288
Mailing address
5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200855 | Other | NC | NC MEDICAL BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbeasley212485@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200855 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Carolina Acute Care & Wellness Center, PA | Past | Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
295 W 27th St
Lumberton, NC 28358
Phone (910) 739-5550
2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048
4901 Dawn Dr
Ste 3200
Lumberton, NC 28360
Phone (910) 735-8040
395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434
4300 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 608-3078
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
Interoperability endpoints
- dbeasley212485@direct.unc.nchie.net
- https://api.platform.athenahealth.com/21718/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Lumberton, NC
- NPI 1427282045
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- Multi-Specialty Clinic/Center
- Lumberton, NC
- NPI 1265165518
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
-
- General Practice Physician
- Lumberton, NC
- NPI 1467099127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1568458495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5221 PARAMOUNT PKWY STE 220",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 DAWN DR STE 3200",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283608288",
"telephone_number": "910-735-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "DEBRA",
"middle_name": "BAKER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL BOARD",
"identifier": "200855",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbeasley212485@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "295 W 27th St",
"city": "Lumberton",
"state": "NC",
"country_code": "US",
"postal_code": "283583016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.