Active NPI
Edward Beamon
- Licensed Practical Nurse
- Saginaw, MI
National Provider Identifier
1922890516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703105752
- Practice address
- 3924 Gallagher St
Saginaw, MI 48601-4224 - Phone
- (989) 332-2770
- NPI assigned
- May 20, 2025
- Last updated
- May 20, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703105752 | MI | Primary |
Addresses
Primary practice location
3924 Gallagher St
Saginaw, MI 48601-4224
Mailing address
3924 Gallagher St
Saginaw, MI 48601-4224
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703105752 | MI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1922890516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3924 GALLAGHER ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486014224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3924 GALLAGHER ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486014224",
"telephone_number": "989-332-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMON",
"first_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703105752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.