Individual provider Active NPI

Sharon Krystal Beasley, NP-C

  • Family Nurse Practitioner
  • Waverly, TN
National Provider Identifier
1932510591
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18202 Issued in TN
Practice address
209 W Main St
Waverly, TN 37185-1510
Phone
(931) 299-3121
NPI assigned
May 15, 2014
Last updated
Jan 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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 18202 TN Primary

Addresses

Primary practice location

209 W Main St
Waverly, TN 37185-1510

Mailing address

174 Harbor Cir
New Johnsonville, TN 37134-9606
Phone (615) 347-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140827002509 TN Practitioner - Nurse Practitioner 4486872736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thompson Family Health and WellnessGroup PAC ID 5698162832, 3 clinicians

Practice addresses (Care Compare)

502 W Main St
Waverly, TN 37185-1407
Phone (931) 299-5001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Family Health and Wellness Family CurrentSince Mar 13, 2024 Accepting new patients

Locations

10161 US Highway 70 E
Mc Ewen, TN 37101
Phone (931) 582-3170

502 W Main St
Waverly, TN 37185
Phone (931) 296-2747

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26572/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1932510591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 HARBOR CIR",
            "city": "NEW JOHNSONVILLE",
            "state": "TN",
            "postal_code": "371349606",
            "telephone_number": "615-347-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851510",
            "telephone_number": "931-299-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "SHARON",
        "middle_name": "KRYSTAL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, TN

Sources for this page

Verify at the official NPI Registry.