Carolyn Bean

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1786 Beaver Trail Dr
Cordova, TN 38016

Phone

(901) 315-1084

Fax

(901) 249-7686

NPI assigned

Jun 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1881189702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 BEAVER TRAIL DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166037",
            "telephone_number": "901-315-1084",
            "fax_number": "901-249-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 BEAVER TRAIL DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "901-315-1084",
            "fax_number": "901-249-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1000000023292",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Baskett, PMHNP
• Tamara Bateman
• William Taylor Bates, PA-C
• Anna Marie Baxter, RBT
• Be True Transport, LLC
• Beane'S Medical Transportation
• Brandi Wood Beard, APRN, DNP
• Ciera Beard, RBT
• Carolyn Beaty
• Beau Pittman

• Home Health Aide in Cordova, TN
• Providers in Cordova, TN by specialty
• Home Health Aide in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.