Active NPI
Carol L Beard, CRNA
- Certified Registered Nurse Anesthetist
- Murrells Inlet, SC
National Provider Identifier
1982641213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2870
- Practice address
- 4070 Highway 17
Murrells Inlet, SC 29576-5033 - Phone
- (843) 652-1000
- NPI assigned
- Jun 2, 2006
- Last updated
- Nov 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2870 | SC | Primary |
Addresses
Primary practice location
4070 Highway 17
Murrells Inlet, SC 29576-5033
Mailing address
3207 Stone Creek CT
North Myrtle Beach, SC 29582-8526
Phone (330) 858-2974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1500 | Medicaid | SC |
Other names 1
- Carol L Ynn Frackelton
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2870 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsol Anesthetists of Murrells Inlet, SC | Past | Accepting new patients | |
| Professional Anesthesia Service Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Murrells Inlet, SC
- NPI 1376588384
-
- Anesthesiology Physician
- Akron, OH
- NPI 1770547408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1982641213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 STONE CREEK CT",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295828526",
"telephone_number": "330-858-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4070 HIGHWAY 17",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765033",
"telephone_number": "843-652-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "CAROL",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "2870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1500",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "FRACKELTON",
"middle_name": "L YNN",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.