Individual provider Active NPI

Janet M Beebe, CRNP

  • Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1710981709
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R112087 Issued in MD
Practice address
14999 Health Center Dr
Ste 201
Bowie, MD 20716-1087
Phone
(301) 262-8188
Fax
(301) 464-8233
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R112087 MD Primary

Addresses

Primary practice location

14999 Health Center Dr
Ste 201
Bowie, MD 20716-1087

Mailing address

14999 Health Center Dr
Ste 201
Bowie, MD 20716-1087
Phone (301) 262-8188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040428001283 DC Practitioner - Nurse Practitioner 5890687537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifestream Health CenterGroup PAC ID 4284870072, 6 clinicians

Practice addresses (Care Compare)

4000 Mitchellville Rd
Suite B322
Bowie, MD 20716-3176
Phone (301) 860-0305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R112087MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestream Health Center CurrentSince Jan 1, 2022 Accepting new patients
Bowie Internal Medicine Associates CurrentSince Jan 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4000 Mitchellville Rd
Bowie, MD 20716
Phone (301) 262-9872

4000 Mitchellville Rd
Ste B322
Bowie, MD 20716
Phone (301) 804-0344

14999 Health Center Dr
Ste 201
Bowie, MD 20716
Phone (301) 262-8188

Interoperability endpoints

  • Direct secure messaging: janet.beebe.1@20459.direct.athenahealth.com
  • Direct secure messaging: beebe.janet.002.0200021@bim.meditab.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1710981709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "STE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161087",
            "telephone_number": "301-262-8188",
            "fax_number": "301-464-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "STE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161087",
            "telephone_number": "301-262-8188",
            "fax_number": "301-464-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBE",
        "first_name": "JANET",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R112087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.