Autumn Beasley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

737829 Issued in TX

Practice address

3502 9TH St
Suite 360
Lubbock, TX 79415-3300

Phone

(806) 761-0747

Fax

(806) 761-0751

NPI assigned

Nov 2, 2010

Last updated

Feb 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FMC Long-Term Care PAGroup PAC ID 7416380423, 23 clinicians

Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians

Arthritis and Osteoporosis Associates, LLPGroup PAC ID 7719963982, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Hospital Plainview Hospital, Plainview, TX, CCN 450539
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Arthritis & Osteoporosis Associates, LLP

  • Specialist
  • Lubbock, TX
  • NPI 1952354300
  Medicare reassignment Care Compare group NPD
• FMC Long-Term Care, P.a.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1538703459
  Medicare reassignment Care Compare group NPD
• FMC LTC Aco LLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1942048053
  Medicare reassignment NPD
• Dora Roberts Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Big Spring, TX
  • NPI 1760486708
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation
• Lubbock Heritage Hospital, LLC.

  dba Grace Surgical Hospital

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499
  Care Compare affiliation
• Methodist Hospital Plainview Texas

  dba Covenant Hospital Plainview

  • General Acute Care Hospital
  • Plainview, TX
  • NPI 1073580726
  Care Compare affiliation
• Methodist Hospital Plainview Texas

  dba Covenant Hospital Plainview

  • Ambulatory Surgical Clinic/Center
  • Plainview, TX
  • NPI 1174630198

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1699075960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 135",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST",
            "address_2": "SUITE 360",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153300",
            "telephone_number": "806-761-0747",
            "fax_number": "806-761-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "AUTUMN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "737829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Lee Bean, RVT, RDCS, RT (R)
• Andrea Beard-Winkelman
• Elizabeth A. Beard, DDS
• Terri Beard
• Tara Bearden, MSN, APRN, FNP-C
• Julie Amanda Beasley, M.S., CGC
• Bryan Beatty
• Jacob Beaty, MSN FNP-C
• Charles Beaudoin, CRNA
• Kevin Beaugh, PT

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.