Individual provider Active NPI

Krista Beaver, RN

  • Registered Nurse
  • Amherst, NY
National Provider Identifier
1689450587
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
896275 Issued in NY
Practice address
1412 Sweet Home Rd
Amherst, NY 14228-2795
Phone
(716) 589-1411
Fax
(716) 276-3051
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 896275 NY Primary

Addresses

Primary practice location

1412 Sweet Home Rd
Amherst, NY 14228-2795

Mailing address

1412 Sweet Home Rd
Amherst, NY 14228-2795
Phone (716) 589-1411

Other practice location 1

104 Nicholls St
Lockport, NY 14094
Phone (716) 392-9301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
896275NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1689450587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282795",
            "telephone_number": "716-589-1411",
            "fax_number": "716-276-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282795",
            "telephone_number": "716-589-1411",
            "fax_number": "716-276-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Nicholls St",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "14094",
            "country_code": "US",
            "telephone_number": "716-392-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "KRISTA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "896275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.