Individual provider Active NPI

Jill Beavers-Kirby, NP

  • Acute Care Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1760510481
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP 08210 Issued in OH
Practice address
300 W 10TH Ave
Columbus, OH 43210-1280
Phone
(614) 293-3316
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP 08210 OH Primary

Addresses

Primary practice location

300 W 10TH Ave
Columbus, OH 43210-1280

Mailing address

300 W 10TH Ave
Columbus, OH 43210-1280
Phone (614) 293-3316

Other names 1

  • Jill Beavers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MI, IA, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200220003060 AZ Practitioner - Nurse Practitioner 3577694462 Practice locations: Buckeye, AZ
I20220314001137 MI Practitioner - Nurse Practitioner 3577694462
I20220527000247 IA Practitioner - Nurse Practitioner 3577694462 Reassigns benefits to 1 organization
I20220621001510 PA Practitioner - Nurse Practitioner 3577694462 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 08210OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of Tennessee PC CurrentSince Jun 1, 2022 Accepting new patients
Patient Sortal Health PLLC CurrentSince May 2, 2022 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jun 1, 2022 Accepting new patients
Nurse Practitioner Alliance LLC Past Accepting new patients
Hospice of Central Ohio Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

1089 Jordan Creek Pkwy
Ste 200
West Des Moines, IA 50266
Phone (615) 206-2462

225 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (833) 728-1368

225 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (833) 728-1368

3201 Dallas Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 617-9800

Interoperability endpoints

  • Direct secure messaging: jill.beavers-kirby@202362935902212.direct.elationemr.com
  • Direct secure messaging: jill.beaverskirby@3879.securemail.prognocis.com

Organizations & group practices 6

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1760510481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-293-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-293-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS-KIRBY",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "NP 08210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BEAVERS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.