Individual provider Active NPI

Marla A Beeler, MSN, FN-C, APRN

  • Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1649547274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28145197A Issued in IN
Practice address
207 Sparks Ave
Suite 201
Jeffersonville, IN 47130-3739
Phone
(812) 280-1419
Fax
(812) 280-1451
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28145197A IN Primary

Addresses

Primary practice location

207 Sparks Ave
Suite 201
Jeffersonville, IN 47130-3739

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28145197AINMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649547274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7906",
            "fax_number": "615-920-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE",
            "address_2": "SUITE 201",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303739",
            "telephone_number": "812-280-1419",
            "fax_number": "812-280-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEELER",
        "first_name": "MARLA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSN, FN-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28145197A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.