Active NPI
Laurie a Beach
- Nurse Practitioner
- Pilot Grove, MO
National Provider Identifier
1780808675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- LAURIE A BEACH
- Practice address
- 212 College St
Pilot Grove, MO 65276-1005 - Phone
- (660) 834-5100
- Fax
- (660) 834-5101
- NPI assigned
- Apr 12, 2007
- Last updated
- Feb 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laurie A Beach, FNP
- Title
- Owner
- Phone
- (660) 834-5100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
212 College St
Pilot Grove, MO 65276-1005
Mailing address
PO Box 817
Cape Girardeau, MO 63702-0817
Phone (573) 335-4715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000014600 | Other | MO | MEDICARE PART B |
Other names 1
- Pilot Grove Rural Health Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Laurie a Beach
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Pilot Grove Rural Health Clinic
- Family Medicine Physician
- Pilot Grove, MO
- NPI 1669831640
-
- Nurse Practitioner
- Pilot Grove, MO
- NPI 1316112154
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234396800000",
"number": "1780808675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 817",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637020817",
"telephone_number": "573-335-4715",
"fax_number": "573-334-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 COLLEGE ST",
"city": "PILOT GROVE",
"state": "MO",
"postal_code": "652761005",
"telephone_number": "660-834-5100",
"fax_number": "660-834-5101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURIE A BEACH",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2009-02-12",
"status": "A",
"authorized_official_last_name": "BEACH",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "660-834-5100",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "000014600",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pilot Grove Rural Health Clinic",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pilot Grove, MO
- Ashley R Homan
- Holly Kathryn Hughes, LMT
- John Fitzgibbon Memorial Hospital Inc (Pilot Grove Medical Clinic at Fitzgibbon)
- Janna Leigh Lammers, MS CCC SLP
- Laurie a Beach (Pilot Grove Rural Health Clinic)
- Desiree A Mangone, OT
- Missouri Valley Regional Medical Center, LLC
- Pilot Grove C-4
- Pilot Grove Rural Health Clinic
- Lisa D Pyle, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.