Angela Beedle, RN, IBCLC

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

RN194792 Issued in AZ

Practice address

10057 E Lomita Ave
Mesa, AZ 85209-1247

Phone

(480) 516-8257

Fax

(480) 516-8257

NPI assigned

May 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Pelissero Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1770374571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10057 E LOMITA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091247",
            "telephone_number": "480-516-8257",
            "fax_number": "480-516-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10057 E LOMITA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091247",
            "telephone_number": "480-516-8257",
            "fax_number": "480-516-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEDLE",
        "first_name": "ANGELA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "L316856",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "AZ",
            "license": "RN194792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PELISSERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Bednar, LAC
• Marisela M. Bedoya, DMD
• Beech Health Support LLC (Beech Health Solutions)
• Beech Medical Group, Inc.
• David Beecher
• Laura Beels, DPT
• Cheri Beers, RN
• Amanda Nicole Beese, PA-C
• Tonnie Beevers, LPN
• Earl Lee Begay

• Neonatal Intensive Care Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Neonatal Intensive Care Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.