Active NPI
Timberlyn Mashonda Beal
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21267
- Practice address
- 3360 N Watkins St
Memphis, TN 38127-6432 - Phone
- (901) 401-7150
- Fax
- (901) 347-1285
- NPI assigned
- Jul 2, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21267 | TN | Primary |
Addresses
Primary practice location
3360 N Watkins St
Memphis, TN 38127-6432
Mailing address
6208 Quince Rd
Memphis, TN 38119-7526
Phone (901) 337-3883
Other practice location 1
8132 Cordova Rd Ste 102
Cordova, TN 38016-6005
Phone (901) 751-0939 ext. 111
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170109001860 | TN | Practitioner - Nurse Practitioner | 1153602040 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21267 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lunceford Family Health Center P.C. | Current | Accepting new patients | |
| Spinal Health Care Associates, P.C. | Current | Accepting new patients | |
| Phillip R. Bowden, M.D.,P.a. | Current | Accepting new patients | |
| Osh Mi Physicians Group, PC | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Family | Past | Accepting new patients |
| Oak Street Health Physicians Group of Tennessee, PLLC | Past | Accepting new patients |
Locations
30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758
8132 Cordova Rd
Ste 103
Cordova, TN 38016
Phone (901) 751-0939
8132 Cordova Rd
Ste 102
Cordova, TN 38016
Phone (901) 751-0939
3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603
7865 Educators Ln
Ste 110
Memphis, TN 38133
Phone (901) 384-9920
1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200
1717 Kirby Pkwy
Memphis, TN 38120
Phone (901) 272-7200
Interoperability endpoints
- timberlyn.beal.p1@direct.luncefordfamily.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1700236478
-
- Rehabilitation Chiropractor
- Cordova, TN
- NPI 1316137243
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1760116172
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osh Mi Physicians Group, PC
Practice addresses (Care Compare)
3360 N Watkins St
Memphis, TN 38127-6432
Phone (901) 401-7150
Hospital & facility affiliations
- Methodist Hospitals of Memphis
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1932551850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6208 QUINCE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381197526",
"telephone_number": "901-337-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3360 N WATKINS ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381276432",
"telephone_number": "901-401-7150",
"fax_number": "901-347-1285"
}
],
"practiceLocations": [
{
"address_1": "8132 Cordova Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380166005",
"country_code": "US",
"telephone_number": "901-751-0939 x111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAL",
"first_name": "TIMBERLYN",
"middle_name": "MASHONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-02",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "21267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.