Kelli Jo Beaty, LICENSED MIDWIFE

Primary specialty

MidwifeTaxonomy code 176B00000X

License

96043 Issued in TX

Practice address

1201 W Texas Ave
Midland, TX 79701-6173

Phone

(432) 687-4645

Fax

(432) 687-4645

NPI assigned

Jul 5, 2006

Last updated

Jul 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Motherly Way Maternity Services

  • Midwife
  • Midland, TX
  • NPI 1013390178
  NPD (past) Authorized official
• Motherly Way Maternity Services

  • Birthing Clinic/Center
  • Midland, TX
  • NPI 1942409115
  NPD (past) Authorized official
• Willow Midwife Center for Birth and Wellness Az

  • Birthing Clinic/Center
  • Mesa, AZ
  • NPI 1740642297
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1659302859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016173",
            "telephone_number": "432-687-4645",
            "fax_number": "432-687-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016173",
            "telephone_number": "432-687-4645",
            "fax_number": "432-687-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "KELLI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LICENSED MIDWIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "96043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa D Bayley, PH.D.
• Clarissa Bazan
• Bca of Texas LLC (BCA Permian Basin)
• BCW Crna Inc
• Staci Nicole Bearden
• Terry L Beck, MD
• Gina B Beckham, DC
• Behavioral Health Center of the Permian Basin LLC
• Jennifer L Behm, PA-C
• Emily K Beisert

• Midwife in Midland, TX
• Providers in Midland, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.