Organization Active NPI

Beacon of Health

  • Family Nurse Practitioner
  • Blue Bell, PA
National Provider Identifier
1689530180
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BEACON OF HEALTH
Practice address
325 Sentry Pkwy E Ste 301
Blue Bell, PA 19422-2312
Phone
(267) 223-4241
NPI assigned
Dec 29, 2025
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Ms. Khadian Smith, NPNPI 1629531108
Title
CRNP
Phone
(267) 223-4241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

325 Sentry Pkwy E Ste 301
Blue Bell, PA 19422-2312

Mailing address

325 Sentry Pkwy E Ste 301
Blue Bell, PA 19422-2312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260324003091 PA Part B Supplier - Clinic/Group Practice 4385128693 Receives reassigned benefits from 1 practitioner
Practice locations: Blue Bell, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1689530180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SENTRY PKWY E STE 301",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SENTRY PKWY E STE 301",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222312",
            "telephone_number": "267-223-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KHADIAN",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "267-223-4241",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.