Alexandra Maria Beattie, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3771963 Issued in ID

Practice address

700 W Ironwood Dr Ste 155
Coeur D Alene, ID 83814-4462

Phone

(208) 667-0585

Fax

(208) 625-2075

NPI assigned

Apr 4, 2020

Last updated

Aug 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Alexandra Maria Hernandez Former name

Medicare fee-for-service enrollment

Enrolled in CA, ID2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rady Children's Hospital San DiegoGroup PAC ID 3971677493, 164 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rady Children's Hospital San Diego

  dba Rady Children's Specialists of San Diego, A Medical Foundation

  • Pediatrics Physician
  • San Diego, CA
  • NPI 1669617197
  Medicare reassignment Care Compare group
• Dirne Health Centers, Inc.

  dba Heritage Health Main

  • Federally Qualified Health Center (FQHC)
  • Coeur d'Alene, ID
  • NPI 1285686477
  Medicare reassignment
• Coeur D'Alene Pediatrics PA

  • Pediatrics Physician
  • Coeur d'Alene, ID
  • NPI 1255496980
  NPD
• Dirne Health Centers Inc

  dba Heritage Health Pediatrics Hayden

  • Federally Qualified Health Center (FQHC)
  • Hayden, ID
  • NPI 1023961299

  Nurse Practitioner

  NPD (past)
• Dirne Health Centers Inc

  dba Heritage Health Pediatrics Post Falls

  • Federally Qualified Health Center (FQHC)
  • Post Falls, ID
  • NPI 1831042001

  Nurse Practitioner

  NPD (past)
• Dirne Health Centers Inc

  dba Heritage Health Pediatrics Coeur d'Alene

  • Federally Qualified Health Center (FQHC)
  • Coeur d'Alene, ID
  • NPI 1851244024

  Nurse Practitioner

  NPD (past)
• Marilyn Kaufhold, M.D., a Medical Corporation

  • Children's Hospital
  • San Diego, CA
  • NPI 1336359389
  NPD (past)

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1659900389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E RAILROAD AVE # D102",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838541015",
            "telephone_number": "208-667-0585",
            "fax_number": "208-625-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 155",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144462",
            "telephone_number": "208-667-0585",
            "fax_number": "208-625-2075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E Mullan Ave Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838546054",
            "country_code": "US",
            "telephone_number": "208-667-0585",
            "fax_number": "208-625-2075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9095 N Hess St",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838359827",
            "country_code": "US",
            "telephone_number": "208-667-0585",
            "fax_number": "208-625-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "3771963",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95020961",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95166137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "HERNANDEZ",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew C. Bean, MD
• Robin Marie Beard, ARNP
• Britta Beasley, MD
• Beatific Behavior Services, Inc
• Beatific Behavior Services, Inc
• Lacy Jane Bebout
• Brandi Beckedahl, LMT
• Joseph George Beckett, LCPC, LSW
• Trudi Michelle Beckett
• Caroline Miles Becnel, LMSW

• Pediatric Nurse Practitioner in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Pediatric Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.