Individual provider Active NPI

Pamela Davis Beezley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1619218849
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
732656 Issued in TX
Practice address
501 W Main St
Arlington, TX 76010-1006
Phone
(817) 702-3100
Fax
(817) 702-4606
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 732656 TX Primary

Addresses

Primary practice location

501 W Main St
Arlington, TX 76010-1006

Mailing address

200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657
Phone (817) 702-2977

Other practice location 1

601 W Terrell Ave
Fort Worth, TX 76104-3243
Phone (817) 702-3100

Other names 1

  • Pamela Davis-Beezley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130620000516 TX Practitioner - Nurse Practitioner 1658510714 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
732656TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Health My Resources of Tarrant County CurrentSince Mar 10, 2013 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Sep 13, 2023 Accepting new patients

Locations

501 W Main St
Arlington, TX 76010
Phone (817) 702-3165

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

601 W Terrell Ave
Ft Worth, TX 76104
Phone (817) 338-4333

1527 Hemphill St
Ft Worth, TX 76104
Phone (817) 569-4200

Organizations & group practices 2

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": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1619218849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047657",
            "telephone_number": "817-702-2977",
            "fax_number": "817-702-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W MAIN ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760101006",
            "telephone_number": "817-702-3100",
            "fax_number": "817-702-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Terrell Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043243",
            "country_code": "US",
            "telephone_number": "817-702-3100",
            "fax_number": "817-702-4847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS BEEZLEY",
        "first_name": "PAMELA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "732656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DAVIS-BEEZLEY",
            "credential": "APRN/PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.