Individual provider Active NPI

Yan Yan Beach, APRN

  • Family Nurse Practitioner
  • Avon, CT
National Provider Identifier
1861994220
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7468 Issued in CT
Practice address
8 Canal CT
Avon, CT 06001-3726
Phone
(860) 674-9686
NPI assigned
Mar 1, 2018
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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 7468 CT Primary

Addresses

Primary practice location

8 Canal CT
Avon, CT 06001-3726

Mailing address

1 John H Stewart Dr
Newington, CT 06111-3126
Phone (860) 667-4453

Other identifiers 1

IdentifierTypeStateIssuer
7468OtherCTDEPARTMENT PUBLIC OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180327001527 CT Practitioner - Nurse Practitioner 1759643075 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-6623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince May 1, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jan 14, 2021 Accepting new patients
Midstate Medical Center Current Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince May 1, 2020 Accepting new patients
Midstate Medical Center CurrentSince Jan 14, 2021 Accepting new patients
Midstate Medical Center CurrentSince Jan 14, 2021 Accepting new patients
Starling Physicians, PLLC CurrentSince Nov 1, 2018 Accepting new patients
Starling Physicians PLLC CurrentSince Nov 1, 2018 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jan 14, 2021 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1 John H Stewart Dr
Newington, CT 06111
Phone (860) 539-2579

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: yanyan.beach@xdr.hhchealthdirect.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1861994220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JOHN H STEWART DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113126",
            "telephone_number": "860-667-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CANAL CT",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013726",
            "telephone_number": "860-674-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "YAN YAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT PUBLIC OF HEALTH",
            "identifier": "7468",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.