Vicky M. Beall, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3284P Issued in KY

Practice address

302 W Main St
Warsaw, KY 41095-9304

Phone

(859) 567-2754

Fax

(859) 567-5108

NPI assigned

May 10, 2006

Last updated

Dec 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CCMH Corporation

  dba Empowered Living

  • Mental Health Counselor
  • Carrollton, KY
  • NPI 1336945542
  NPD (past)
• CCMH Corporation

  dba Carrollton Medical Associates

  • Internal Medicine Physician
  • Carrollton, KY
  • NPI 1518154681
  NPD (past)
• CCMH Corporation

  dba CCMH Surgical Practice

  • Surgery Physician
  • Carrollton, KY
  • NPI 1528255692

  Family

  NPD (past)
• CCMH Corporation

  dba Carroll County Memorial Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Carrollton, KY
  • NPI 1558585091
  NPD (past)
• CCMH Corporation

  dba CCMH Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Carrollton, KY
  • NPI 1821871575
  NPD (past)
• CCMH Corporation

  dba Carroll County Anesthesia Group

  • Certified Registered Nurse Anesthetist
  • Carrollton, KY
  • NPI 1972739993
  NPD (past)
• Warsaw Family Medicine

  • Family Medicine Physician
  • Warsaw, KY
  • NPI 1124309943
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1821048117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3270",
            "fax_number": "502-732-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W MAIN ST",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "410959304",
            "telephone_number": "859-567-2754",
            "fax_number": "859-567-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALL",
        "first_name": "VICKY",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3284P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50030474",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78005501",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000697072",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbeall30406@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2400 Eastpoint Pkwy Ste 100",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402234154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard J Ackermann, DMD
• Janet G Bagwell
• Beringer Drug Store Inc
• Beringer Drug Store, Inc.
• Thomas M Beringer
• Dale E Bertram, PH.D./MFT
• Jasmine Birchall, APRN

• Family Nurse Practitioner in Warsaw, KY
• Providers in Warsaw, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.