Kristen Beasley, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

BP10086837 Issued in TX

Practice address

590 Medical Center Rd
Attn: Residency Center
Fort Cavazos, TX 76544-5060

Phone

(254) 553-9089

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristen Baird Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1942050828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N SHETLAND DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046948",
            "telephone_number": "479-790-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER RD",
            "address_2": "ATTN: RESIDENCY CENTER",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-553-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "KRISTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10086837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BAIRD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hunter James Barnes, DO
• Kimberly Denise Barrera, RN
• Rebecca Guerich Barrera, RN
• Kate Lacey Barron Michel, DO, MPH
• John Lee Bazan, LCSW
• Autumn Leigh-Ann Becker, D.M.D.
• Sara Bender, LCSW-S
• Collin Thomas Bezely, PA-C
• Maria Bienhoff
• George Bigalbal, DNP

• Student in an Organized Health Care Education/Training Program in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.