Individual provider Active NPI

Beth Rae Fields, FNP

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1700862364
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000887A Issued in IN
Practice address
1513 N 6TH 1/2 St
Terre Haute, IN 47807-1039
Phone
(812) 238-7631
NPI assigned
Dec 15, 2005
Last updated
Oct 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71000887A IN Primary

Addresses

Primary practice location

1513 N 6TH 1/2 St
Terre Haute, IN 47807-1039

Mailing address

PO Box 2505
Indianapolis, IN 46206-2505
Phone (812) 238-7783

Other identifiers 2

IdentifierTypeStateIssuer
500013624OtherINRR MEDICARE
200371390MedicaidIN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070709000193 IN Practitioner - Nurse Practitioner 5294835153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71000887AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Professionals Community Health Center, Inc. Current Accepting new patients
Midwest Medical Management, P.C. Current Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Jun 1, 2015 Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Jun 1, 2015 Accepting new patients

Locations

703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400

727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123

1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289

601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1700862364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2505",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062505",
            "telephone_number": "812-238-7783",
            "fax_number": "812-238-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 N 6TH 1/2 ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071039",
            "telephone_number": "812-238-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "BETH",
        "middle_name": "RAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000887A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500013624",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200371390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.