Active NPI
Carrie Beaird, NP
- Nurse Practitioner
- Santa Ana, CA
National Provider Identifier
1730307786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 112931
- Practice address
- 1735 E Garry Ave.
Santa Ana, CA 92705 - Phone
- (678) 472-2342
- NPI assigned
- Apr 23, 2007
- Last updated
- Dec 17, 2018
- 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 | 112931 | GA | Primary |
Addresses
Primary practice location
1735 E Garry Ave.
Santa Ana, CA 92705
Mailing address
1735 E Garry Ave.
Santa Ana, CA 92705
Phone (678) 472-2342
Other practice location 1
7530 Roswell Rd
Atlanta, GA 30350
Phone (866) 935-0333
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112931 | GA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1730307786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 E GARRY AVE.",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92705",
"telephone_number": "678-472-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 E GARRY AVE.",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92705",
"telephone_number": "678-472-2342"
}
],
"practiceLocations": [
{
"address_1": "7530 Roswell Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30350",
"country_code": "US",
"telephone_number": "866-935-0333",
"fax_number": "713-935-9353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAIRD",
"first_name": "CARRIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "112931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.