Active NPI
Karen Marie Beach, NP
- Nurse Practitioner
- Tucker, GA
National Provider Identifier
1699901934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN132357
- Practice address
- 3987 Lawrenceville Hwy Ste B
Tucker, GA 30084-4526 - Phone
- (770) 270-8112
- Fax
- (770) 270-6841
- NPI assigned
- Jun 1, 2009
- Last updated
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN132357 | GA | Primary |
Addresses
Primary practice location
3987 Lawrenceville Hwy Ste B
Tucker, GA 30084-4526
Mailing address
3987 Lawrenceville Hwy Ste B
Tucker, GA 30084-4526
Phone (770) 270-8112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN132357 | Other | GA | GEORGIA BOARD OF NURSING |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN132357 | GA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1699901934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3987 LAWRENCEVILLE HWY STE B",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844526",
"telephone_number": "770-270-8112",
"fax_number": "770-270-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3987 LAWRENCEVILLE HWY STE B",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844526",
"telephone_number": "770-270-8112",
"fax_number": "770-270-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "KAREN",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN132357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BOARD OF NURSING",
"identifier": "RN132357",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.