Active NPI
Marcia Beatty, CNP
- Nurse Practitioner
- Taos, NM
National Provider Identifier
1710922844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R36413
- Practice address
- 1399 Weimer Road
Taos, NM 87571 - Phone
- (505) 758-2224
- NPI assigned
- Jun 20, 2006
- Last updated
- Jul 8, 2007
- 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 | R36413 | NM | Primary |
Addresses
Primary practice location
1399 Weimer Road
Taos, NM 87571
Mailing address
1397A Weimer Road
Taos, NM 87571
Phone (505) 758-2224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170721001836 | NM | Practitioner - Nurse Practitioner | 2163792227 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R36413 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krossroads Integrative Health and Recovery Solutions Inc | Current | Accepting new patients | |
| Taos Medical Group P a | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
6 Calle Medico
Ste 1
Santa Fe, NM 87505
Phone (505) 273-4668
Interoperability endpoints
- https://api.platform.athenahealth.com/2636/brand/1/csg/1/fhir/r4
- marcia.beatty.1@2636.direct.athenahealth.com
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710922844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397A WEIMER ROAD",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 WEIMER ROAD",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "MARCIA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R36413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.