Active NPI
Valerie Beavers, APRN
- Gerontology Nurse Practitioner
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- A003866
- Practice address
- 5315 W 12TH St
Little Rock, AR 72204-1858 - Phone
- (501) 664-0941
- Fax
- (501) 666-3956
- NPI assigned
- Apr 12, 2013
- Last updated
- Jan 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A003866 | AR | Primary |
Addresses
Primary practice location
5315 W 12TH St
Little Rock, AR 72204-1858
Mailing address
1901 Biscayne Dr
Little Rock, AR 72227-3951
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Care Professionals, LLC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current | Accepting new patients | |
| Icp Arkansas Aco Billing LLC | Current | Accepting new patients | |
| SHC Medical Partners of Arkansas, LLC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current | Accepting new patients | |
| Venvisor Health of Ar PA | Current | Accepting new patients |
Locations
1202 NE McClain Rd
Bentonville, AR 72712
Phone (855) 632-6940
200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870
200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
Organizations & group practices 8
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.
-
- Nurse Practitioner
- Bentonville, AR
- NPI 1992553028
-
- Nurse Practitioner
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- NPI 1861205460
-
- Nurse Practitioner
- Little Rock, AR
- NPI 1669285367
-
- Clinical Nurse Specialist
- Maumelle, AR
- NPI 1679157838
-
- Clinical Nurse Specialist
- Little Rock, AR
- NPI 1164762662
-
- Nurse Practitioner
- Little Rock, AR
- NPI 1821830795
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1528871126
-
- Nurse Practitioner
- Ridgeland, MS
- NPI 1992518591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1851734453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 BISCAYNE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722273951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 W 12TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041858",
"telephone_number": "501-664-0941",
"fax_number": "501-666-3956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAVERS",
"first_name": "VALERIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A003866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.