Active NPI
Karen Diane Beatty, CRNP
- Family Nurse Practitioner
- Norfolk, VA
National Provider Identifier
1619157757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168880
- Practice address
- 440 Monticello Ave Ste 1844
Norfolk, VA 23510-2571 - Phone
- (757) 773-3456
- Fax
- (757) 282-5748
- NPI assigned
- Nov 6, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 481265866 | VA | |
| Family Nurse Practitioner | 363LF0000X | SP008922 | PA | |
| Family Nurse Practitioner | 363LF0000X | 0024168880 | VA | Primary |
Addresses
Primary practice location
440 Monticello Ave Ste 1844
Norfolk, VA 23510-2571
Mailing address
440 Monticello Ave Ste 1844
Norfolk, VA 23510-2571
Phone (757) 773-4567
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619157757 | Medicaid | VA | |
| 1114956638 | Other | VA | DR PATRICIA KING - COLLABORATOR |
| 1457758393 | Other | VA | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101201001351 | VA | Practitioner - Nurse Practitioner | 7416020946 | Practice locations: Norfolk, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
440 Monticello Ave
Suite 1844
Norfolk, VA 23510-2571
Phone (757) 773-3456
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 481265866 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Sky Psychiatry | Psychiatry | Current | Accepting new patients |
Locations
440 Monticello Ave
Ste 1822
Norfolk, VA 23510
Phone (804) 937-9078
Organizations & group practices 1
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": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676764800000",
"number": "1619157757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 MONTICELLO AVE STE 1844",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102571",
"telephone_number": "757-773-4567",
"fax_number": "757-282-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 MONTICELLO AVE STE 1844",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102571",
"telephone_number": "757-773-3456",
"fax_number": "757-282-5748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "KAREN",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2023-02-19",
"certification_date": "2023-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "481265866",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP008922",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024168880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619157757",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR PATRICIA KING - COLLABORATOR",
"identifier": "1114956638",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1457758393",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.