Individual provider Active NPI

Timothy Wayne Byers Jr., FNP-BC

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1669108262
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1084625 Issued in TX
Practice address
15845 Highway 124
Beaumont, TX 77705
Phone
(409) 781-3158
NPI assigned
Jul 26, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamshire-Fannett Urgent Care LLC 2 clinicians

Practice addresses (Care Compare)

15845 Hwy 124
Beaumont, TX 77705-9202
Phone (409) 781-3158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230627001775 TX Practitioner - Nurse Practitioner 8022443472 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamshire-Fannett Urgent Care LLC CurrentSince Nov 11, 2019 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1084625 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

15845 Highway 124
Beaumont, TX 77705

Mailing address

12005 Woodland Cir
Beaumont, TX 77705-6539
Phone (409) 781-3158

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2022.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1669108262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 WOODLAND CIR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777056539",
            "telephone_number": "409-781-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15845 HIGHWAY 124",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77705",
            "telephone_number": "409-781-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1084625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.