Active NPI
Jonathan Ryan Beatty, FNP-C
- Family Nurse Practitioner
- US Air Force Academy, CO
National Provider Identifier
1861829400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 126894
- Practice address
- 4102 Pinion Dr
US Air Force Academy, CO 80840-2502 - Phone
- (719) 333-5115
- NPI assigned
- Sep 27, 2013
- Last updated
- Apr 8, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 126894 | AK | Primary |
Addresses
Primary practice location
4102 Pinion Dr
US Air Force Academy, CO 80840-2502
Mailing address
4102 Pinion Dr
US Air Force Academy, CO 80840-2502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151009001596 | VA | Order and Referring Only - Nurse Practitioner | 6608184783 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126894 | AK | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1861829400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 PINION DR",
"city": "US AIR FORCE ACADEMY",
"state": "CO",
"postal_code": "808402502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 PINION DR",
"city": "US AIR FORCE ACADEMY",
"state": "CO",
"postal_code": "808402502",
"telephone_number": "719-333-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "JONATHAN",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-27",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "126894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in US Air Force Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.