Active NPI
Lisa Beasley
- Surgical Technologist
- Evansville, IN
National Provider Identifier
1992706378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 046103
- Practice address
- 1400 Professional Blvd
Evansville, IN 47714-8005 - Phone
- (812) 473-2642
- Fax
- (812) 474-4458
- NPI assigned
- Aug 9, 2005
- 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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 046103 | Primary |
Addresses
Primary practice location
1400 Professional Blvd
Evansville, IN 47714-8005
Mailing address
1400 Professional Blvd
Evansville, IN 47714-8005
Phone (812) 473-2642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F01344 | Other | CST/CFA CERT # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992706378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148005",
"telephone_number": "812-473-2642",
"fax_number": "812-474-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148005",
"telephone_number": "812-473-2642",
"fax_number": "812-474-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": "046103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CST/CFA CERT #",
"identifier": "F01344",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.