B Beardsley Arnp, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

B BEARDSLEY ARNP, PLLC

Practice address

12058 San Jose Blvd Ste 1003
Jacksonville, FL 32223-8667

Phone

(904) 321-9875

Fax

(904) 321-9890

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Brian Beardsley, ARNPNPI 1184071730

Title

Owner

Phone

(904) 321-9875

Specialties & licenses 1

Addresses

Other names 1

• Introspect Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Brian Beardsley Jr., ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1184071730
  Medicare reassignment Care Compare group NPD Authorized official
• Melinda P Braswell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1568455863
  Medicare reassignment Care Compare group NPD
• Aimee Roberts-Serrato, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1659828994
  Medicare reassignment Care Compare group NPD
• Melissa Jane Boyle, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1770718678
  NPD
• Robert David Maresh, MD

  • Psychiatry Physician
  • Fleming Island, FL
  • NPI 1821159484
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1659953586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 1003",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238667",
            "telephone_number": "904-321-9875",
            "fax_number": "904-321-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 1003",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238667",
            "telephone_number": "904-321-9875",
            "fax_number": "904-321-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B BEARDSLEY ARNP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "BEARDSLEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-321-9875",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Introspect Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emil Mitchell Azzam, DPT
• Melia Azzam, RD
• Rita Azzo, ARNP
• Abdel-Ghani Azzouqa, MBBS
• B & D Support Services Inc.
• B Jazzy Salon Inc
• B-Flow Medical, LLC
• B. a. Home Health Care, Inc.
• B.E.H. Elderly Care LLC
• B.Well Physical Therapy & Wellness P.a.

• Psychiatric/Mental Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.