Active NPI
Bethany Leann Beachel, PA-C
- Physician Assistant
- Owasso, OK
National Provider Identifier
1891328118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2953
- Practice address
- 9003 N Garnett Rd
Owasso, OK 74055-4495 - Phone
- (918) 272-2882
- NPI assigned
- Feb 14, 2020
- Last updated
- Feb 14, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2953 | OK | Primary |
Addresses
Primary practice location
9003 N Garnett Rd
Owasso, OK 74055-4495
Mailing address
1722 N 4TH St Ste F
Ponca City, OK 74601-2745
Phone (580) 762-2366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2953 | Other | OK | PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1891328118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 N 4TH ST STE F",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746012745",
"telephone_number": "580-762-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9003 N GARNETT RD",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554495",
"telephone_number": "918-272-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACHEL",
"first_name": "BETHANY",
"middle_name": "LEANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "2953",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.