Active NPI
Carla Yvette Beasley, LPN
- Licensed Practical Nurse
- Cleveland, OH
National Provider Identifier
1760684534
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN109255
- Practice address
- 14217 Westropp
Cleveland, OH 44110 - Phone
- (216) 486-0870
- NPI assigned
- Jun 4, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN109255 | OH | Primary |
Addresses
Primary practice location
14217 Westropp
Cleveland, OH 44110
Mailing address
1720 S Green Rd
South Euclid, OH 44121
Phone (216) 382-0390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2351217 | Medicaid | OH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN109255 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760684534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 S GREEN RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "44121",
"telephone_number": "216-382-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14217 WESTROPP",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44110",
"telephone_number": "216-486-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "CARLA",
"middle_name": "YVETTE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN109255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2351217",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
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; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.