Individual provider Active NPI

Trisha Lorraine Beylin, APRN

  • Family Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1760909766
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9248931 Issued in FL
Practice address
2404 N Courtenay Pkwy Ste D
Merritt Island, FL 32953-4127
Phone
(321) 275-6750
Fax
(888) 268-0237
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9248931 FL Primary

Addresses

Primary practice location

2404 N Courtenay Pkwy Ste D
Merritt Island, FL 32953-4127

Mailing address

1021 Newfound Harbor Dr
Merritt Island, FL 32952-2759
Phone (321) 749-1175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200709000298 FL Practitioner - Nurse Practitioner 8022439090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9248931FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Randall B Rigdon LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

8400 Astronaut Blvd
Cape Canaveral, FL 32920
Phone (321) 783-7883

270 N Sykes Creek Pkwy
Ste 202
Merritt Island, FL 32953
Phone (321) 454-2468

Organizations & group practices 1

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1760909766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 NEWFOUND HARBOR DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329522759",
            "telephone_number": "321-749-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 N COURTENAY PKWY STE D",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534127",
            "telephone_number": "321-275-6750",
            "fax_number": "888-268-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYLIN",
        "first_name": "TRISHA",
        "middle_name": "LORRAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9248931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.