Individual provider Active NPI

Timberlyn Mashonda Beal

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1932551850
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21267 Issued in TN
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

Updated by the provider on Jun 29, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109001860 TN Practitioner - Nurse Practitioner 1153602040 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21267TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lunceford Family Health Center P.C. CurrentSince Dec 10, 2018 Accepting new patients
Spinal Health Care Associates, P.C. CurrentSince Sep 18, 2017 Accepting new patients
Phillip R. Bowden, M.D.,P.a. CurrentSince Jul 8, 2019 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince May 26, 2020 Accepting new patients
Osh-Mi Physicians Group PC Family Past Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC PastSince Jul 17, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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 154 clinicians

Practice addresses (Care Compare)

3360 N Watkins St
Memphis, TN 38127-6432
Phone (901) 401-7150

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

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

Verify at the official NPI Registry.