Active NPI
Tahnee Rae Beal, MS, LAT, ATC
- Sports Medicine (Family Medicine) Physician
- Denton, TX
National Provider Identifier
1639704042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- AT7525
- Practice address
- 1301 S Bonnie Brae St.
Athc Building # 0320.
Denton, TX 76207 - Phone
- (530) 375-6530
- NPI assigned
- Mar 5, 2020
- Last updated
- Mar 5, 2020
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | AT7525 | TX | Primary |
Addresses
Primary practice location
1301 S Bonnie Brae St.
Athc Building # 0320.
Denton, TX 76207
Mailing address
400 Ame Dr Apt 3225
Denton, TX 76207-7792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT7525 | TX | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murray State College | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Murray State Sports Medicine
- Orthopaedic Surgery Physician
- Tishomingo, OK
- NPI 1518564343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1639704042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 AME DR APT 3225",
"city": "DENTON",
"state": "TX",
"postal_code": "762077792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S BONNIE BRAE ST.",
"address_2": "ATHC BUILDING # 0320.",
"city": "DENTON",
"state": "TX",
"postal_code": "76207",
"telephone_number": "530-375-6530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAL",
"first_name": "TAHNEE",
"middle_name": "RAE",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "AT7525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
- Tiffany Bays, M.S., LPC
- BB Counseling Services, PLLC (Hope for the Heart Counseling)
- BC Chiropractic PA (NT Chiropractic Clinic)
- BDNT Radiology, PA
- Kaniesha Tiyonne Beal
- Christian Michael Beane, DC
- Amanda Beard, LPC-ASSOCIATE
- Anna Rose Beccone, APRN, FNP-C
- Mary Laureen Becton Crouse, FNP-BC
- Christopher Bedard, LMFT, MMFT, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.