DR. KRISTIN NICOLE BEASLEY (NPI# 1194900944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194900944 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN NICOLE BEASLEY |
| Credential | DVM |
| Practice Address |
1093 Sandy Plains Rd Marietta GA 30066-6537 |
| Practice Telephone | 7704246303 |
| Practice Fax Number | 7704264257 |
| Mailing Telephone | 7704246303 |
| Mailing Fax Number | 7704264257 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | VET007699 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104237833 | Kristin Lee Beasley | Psychologist | 2080 N Winery Ave, #101, Fresno, CA 93703-4817 | 2014-05-15 |
| 1922296763 | Kristin Beasley | Speech-Language Pathologist | 10025 W Angels Ln, Peoria, AZ 85383-3198 | 2007-10-05 |
| Street Address |
1093 SANDY PLAINS RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972788719 | Diana L Olsen | Veterinarian | 1093 Sandy Plains Rd, Marietta, GA 30066-6537 | 2007-12-28 |
| 1700061546 | Jory W Olsen | Veterinarian | 1093 Sandy Plains Rd, Marietta, GA 30066-6537 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972788719 | Diana L Olsen | Veterinarian | 1093 Sandy Plains Rd, Marietta, GA 30066-6537 | 2007-12-28 |
| 1548502230 | Noam Dov Zelman | Veterinarian | 2323 Shallowford Rd, Suite 105b, Marietta, GA 30066-2000 | 2013-03-21 |
| 1700061546 | Jory W Olsen | Veterinarian | 1093 Sandy Plains Rd, Marietta, GA 30066-6537 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215396171 | Jenina C. Howard | Veterinarian | 1396 Government Cir, Jonesboro, GA 30236-5907 | 2016-02-19 |
| 1497123442 | Jennifer House | Veterinarian | 210 Blue Heron Ln, Alpharetta, GA 30009-8343 | 2015-09-08 |
| 1922404102 | Brandon Pogue | Veterinarian | 455 Abernathy Rd, Atlanta, GA 30328-2505 | 2014-11-14 |
| 1346652955 | Thomas Reid Mcarthur | Veterinarian | 300 Commerce Way, Vidalia, GA 30474-8824 | 2014-05-30 |
| 1912317488 | Mary Alisan Parnes | Veterinarian | 3455 Peachtree Pkwy Ste 205, Suwanee, GA 30024-9104 | 2014-05-05 |
| 1912317637 | Monica Voci | Veterinarian | 4630 Martin Rd, Cumming, GA 30041-5533 | 2014-05-02 |
| 1386073575 | Kimberly Fireman | Veterinarian | 593 Dutch Valley Rd Ne, Atlanta, GA 30324-5303 | 2013-11-07 |
| 1457789679 | Stephanie Leigh Hall | Veterinarian | 741 Monroe Dr Ne, Atlanta, GA 30308-1701 | 2013-10-25 |
| 1700212008 | Vivian Ashley Nash-frazier | Veterinarian | 2509 Manchester Expy, Columbus, GA 31904-6815 | 2013-09-18 |
| 1821420662 | Sara Elizabeth Smith | Veterinarian | 123 Jonesboro Rd, Mcdonough, GA 30253-3724 | 2013-08-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KRISTIN NICOLE BEASLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.