Individual provider Active NPI

Rena R Beal, RN, MSN, CFNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1942372412
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0037872 Issued in OH
Practice address
500 Madison Ave Ste 200
Toledo, OH 43604-1230
Phone
(567) 312-8700
Fax
(567) 312-8793
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R789853 MS
Family Nurse Practitioner 363LF0000X APRN.CNP.0037872 OH Primary

Addresses

Primary practice location

500 Madison Ave Ste 200
Toledo, OH 43604-1230

Mailing address

568 N Park LN
Jackson, MS 39206-3815
Phone (601) 362-4471

Other practice location 1

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone (601) 362-4471 ext. 5368

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R789853MSMDFamily Nurse Practitioner
APRN.CNP.0037872OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1942372412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 N PARK LN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063815",
            "telephone_number": "601-362-4471",
            "fax_number": "601-982-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MADISON AVE STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041230",
            "telephone_number": "567-312-8700",
            "fax_number": "567-312-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Woodrow Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392165116",
            "country_code": "US",
            "telephone_number": "601-362-4471 x5368",
            "fax_number": "601-364-1429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAL",
        "first_name": "RENA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R789853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.