Active NPI
Karen M Beattie, APRN
- Obstetrics & Gynecology Nurse Practitioner
- Hartford, CT
National Provider Identifier
1659474690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 000487
- Practice address
- 100 Retreat Ave
Suite 201
Hartford, CT 06106 - Phone
- (860) 246-8568
- Fax
- (860) 728-5076
- NPI assigned
- Sep 6, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 000487 | CT | Primary |
Addresses
Primary practice location
100 Retreat Ave
Suite 201
Hartford, CT 06106
Mailing address
100 Retreat Ave
Suite 201
Hartford, CT 06106
Phone (860) 246-8568
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000487 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659474690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RETREAT AVE",
"address_2": "SUITE 201",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06106",
"telephone_number": "860-246-8568",
"fax_number": "860-728-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RETREAT AVE",
"address_2": "SUITE 201",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06106",
"telephone_number": "860-246-8568",
"fax_number": "860-728-5076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTIE",
"first_name": "KAREN",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CT",
"license": "000487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.