Individual provider Active NPI

Robin Beacom

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1649697558
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1119375 AP07724 Issued in LA
Practice address
200 Petroleum Dr
Lafayette, LA 70508-3880
Phone
(337) 988-9999
Fax
(337) 989-2211
NPI assigned
Mar 28, 2014
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1119375 AP07724 LA Primary

Addresses

Primary practice location

200 Petroleum Dr
Lafayette, LA 70508-3880

Mailing address

2949 S Union St
Opelousas, LA 70570-5740
Phone (337) 948-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140514000253 LA Practitioner - Nurse Practitioner 0143443465 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1119375 AP07724LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ville Platte LLC CurrentSince Jul 31, 2017 Accepting new patients
CLHG-Acadian LLC CurrentSince Sep 16, 2023 Accepting new patients
LHCG Clxix, LLC CurrentSince Sep 16, 2023 Accepting new patients

Locations

821 N Union St
Opelousas, LA 70570
Phone (337) 942-8677

828 Creswell Ln
Opelousas, LA 70570
Phone (337) 942-8088

536 Veterans Blvd
Washington, LA 70589
Phone (337) 628-5014

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1649697558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 S UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705740",
            "telephone_number": "337-948-9606",
            "fax_number": "337-948-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PETROLEUM DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083880",
            "telephone_number": "337-988-9999",
            "fax_number": "337-989-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACOM",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN1119375 AP07724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.