Individual provider Active NPI

Taylor Beauregard Kelamis, APRN, FNP-C

  • Family Nurse Practitioner
  • Lowell, AR
National Provider Identifier
1801385976
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005731 Issued in AR
Practice address
101 Grant PL Ste a
Lowell, AR 72745-7103
Phone
(479) 275-3520
Fax
(479) 335-3405
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 A005731 AR Primary

Addresses

Primary practice location

101 Grant PL Ste a
Lowell, AR 72745-7103

Mailing address

PO Box 8344
Fayetteville, AR 72703-0006
Phone (479) 275-3520

Other names 1

  • Ms. Taylor Gale Beauregard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180813000058 AR Practitioner - Nurse Practitioner 4688922305 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Partners PLLC CurrentSince Jan 1, 2026 Accepting new patients
Kelamis Plastic Surgery, PLLC PastSince Feb 14, 2021 Accepting new patients
Luna Wellness, PLLC PastSince Feb 1, 2023 Accepting new patients

Locations

3340 N College Ave
Fayetteville, AR 72703
Phone (479) 341-3500

500 S University Ave
Ste 711
Little Rock, AR 72205
Phone (501) 663-6391

Organizations & group practices 3

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1801385976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8344",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030006",
            "telephone_number": "479-275-3520",
            "fax_number": "479-335-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GRANT PL STE A",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727457103",
            "telephone_number": "479-275-3520",
            "fax_number": "479-335-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELAMIS",
        "first_name": "TAYLOR",
        "middle_name": "BEAUREGARD",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "BEAUREGARD",
            "middle_name": "GALE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lowell, AR

Sources for this page

Verify at the official NPI Registry.