Individual provider Active NPI

Karen Diane Beatty, CRNP

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1619157757
Registry record updated Feb 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168880 Issued in VA
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

Updated by the provider on Feb 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1619157757MedicaidVA
1114956638OtherVADR PATRICIA KING - COLLABORATOR
1457758393OtherVAGROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
481265866VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Psychiatry Psychiatry CurrentSince Aug 1, 2018 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

Verify at the official NPI Registry.