Individual provider Active NPI

Deborah Lu Beall, APN

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1972562858
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000005457 Issued in TN
Practice address
4001 Lake Otis Pkwy
Suite 200
Anchorage, AK 99508-5200
Phone
(907) 563-2929
Fax
(907) 563-0748
NPI assigned
Mar 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN000005457 TN
Family Nurse Practitioner 363LF0000X APN000005457 TN Primary

Addresses

Primary practice location

4001 Lake Otis Pkwy
Suite 200
Anchorage, AK 99508-5200

Mailing address

4001 Lake Otis Pkwy
Suite 200
Anchorage, AK 99508-5200
Phone (907) 563-2929

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
969AKMDPharmacist
APN000005457TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Medicine Associates, P.C. Past Accepting new patients
Total Health Inc Past Accepting new patients
Pain Medicine Associates, P.C. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972562858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LAKE OTIS PKWY",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085200",
            "telephone_number": "907-563-2929",
            "fax_number": "907-563-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LAKE OTIS PKWY",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085200",
            "telephone_number": "907-563-2929",
            "fax_number": "907-563-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALL",
        "first_name": "DEBORAH",
        "middle_name": "LU",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN000005457",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN000005457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.