Individual provider Active NPI

James Beasley III, EMT-B

  • Athletic Trainer
  • Alvin, TX
National Provider Identifier
1770144826
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
302 Coke LN
Alvin, TX 77511-3411
Phone
(281) 388-1255
NPI assigned
Jun 27, 2019
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 743747 TX
Athletic Trainer 2255A2300X NU Primary

Addresses

Primary practice location

302 Coke LN
Alvin, TX 77511-3411

Mailing address

302 Coke LN
Alvin, TX 77511-3411
Phone (281) 388-1255

Other practice location 1

709 E House St
Alvin, TX 77511-2943
Phone (281) 388-4261

Other practice location 2

1003 Hereford St
College Station, TX 77840-6140
Phone (832) 386-9157

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

State licenses

LicenseStateTypeSpecialty
743747TXMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1770144826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 COKE LN",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113411",
            "telephone_number": "281-388-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 COKE LN",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113411",
            "telephone_number": "281-388-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 E House St",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775112943",
            "country_code": "US",
            "telephone_number": "281-388-4261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Hereford St",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778406140",
            "country_code": "US",
            "telephone_number": "832-386-9157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "JAMES",
        "name_suffix": "III",
        "credential": "EMT-B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "743747",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.