NPIMap

Organization Active NPI

Beacon Health LLC

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1942968524
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BEACON HEALTH LLC
Practice address
1656 Medical Blvd Ste 301
Naples, FL 34110-1423
Phone
(239) 593-6204
Fax
(239) 799-2131
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Molly Heinrich, PA-C
Title
Manager
Phone
(239) 799-7057

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

1656 Medical Blvd Ste 301
Naples, FL 34110-1423

Mailing address

1656 Medical Blvd Ste 301
Naples, FL 34110-1423
Phone (239) 799-7057

National Provider Directory

National Provider Directory

Locations

12250 Tamiami Trl E
Ste 205
Naples, FL 34113
Phone (239) 799-7057

1656 Medical Blvd
Ste 301
Naples, FL 34110
Phone (239) 593-6201

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1942968524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 MEDICAL BLVD STE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101423",
            "telephone_number": "239-799-7057",
            "fax_number": "239-799-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 MEDICAL BLVD STE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101423",
            "telephone_number": "239-593-6204",
            "fax_number": "239-799-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "HEINRICH",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-799-7057",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.