Individual provider Active NPI

Beena Thomas, FNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1669914313
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010661 Issued in KY
Practice address
3939 7TH Street Rd
Louisville, KY 40216-4103
Phone
(502) 883-6800
Fax
(502) 384-2316
NPI assigned
Nov 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010661 KY Primary

Addresses

Primary practice location

3939 7TH Street Rd
Louisville, KY 40216-4103

Mailing address

3939 7TH Street Rd
Louisville, KY 40216-4103
Phone (502) 883-6800

Other practice location 1

3107 Lake Vista Dr
Louisville, KY 40241-4426
Phone (502) 819-6303

Other names 1

  • Mrs. Beena Kazhuthadiyil Abraham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180207000342 KY Practitioner - Nurse Practitioner 3274893599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010661KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family CurrentSince Oct 20, 2024 Accepting new patients
Vpa PC CurrentSince Oct 20, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Norton Hospitals Inc Family CurrentSince Jan 1, 2023 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Norton Hospitals, Inc Family CurrentSince Jan 1, 2023 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2018 Accepting new patients

Locations

2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: bthomas44480@direct.nortonhealthcare.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1669914313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 7TH STREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164103",
            "telephone_number": "502-883-6800",
            "fax_number": "502-384-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 7TH STREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164103",
            "telephone_number": "502-883-6800",
            "fax_number": "502-384-2316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 Lake Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402414426",
            "country_code": "US",
            "telephone_number": "502-819-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BEENA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-12",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEENA",
            "last_name": "ABRAHAM",
            "middle_name": "KAZHUTHADIYIL",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.