Erin Beasley, DNP, FNP-BC, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Albertville, AL
NPI 1679103808 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1679103808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-112784 (AL)
- Practice address
- 209 Sand Mountain Dr E
Albertville, AL 35950-2327 - Phone
- (256) 878-2111
- Fax
- (256) 878-8999
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
209 Sand Mountain Dr E
Suite 200
Albertville, AL 35950-2327
Phone (256) 878-2111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200821002826 | AL | Practitioner - Nurse Practitioner | 3476979337 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Mountain Infusion LLC | Single Specialty | Current |
Accepting new patients |
| Theoria Medical | Single Specialty | Past | Accepting new patients |
Locations
209 Sand Mountain Dr E
Ste 200
Albertville, AL 35950
Phone (256) 878-2111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 1-112784 | AL | Yes |
Addresses
Primary practice location
209 Sand Mountain Dr E
Albertville, AL 35950-2327
Mailing address
209 Sand Mountain Dr E
Albertville, AL 35950-2327
Phone (256) 878-2111
Other providers in Albertville, AL
- James Randall Austin
- Back to Basics Healthcare LLC
- Hannah Joy Baker
- Robert G Barham
- Jacob Seth Barksdale
- Tracy E Bell
- Aushia Berrong
- Fabian N Berru
- Makita Lynn Berry I
- Melissa Joanelle Bettess
All providers in Albertville, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.