MR. JAMES GLENN BEASLEY (NPI# 1255313987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255313987 |
| Entity Type | Individual |
| Full Name | MR. JAMES GLENN BEASLEY |
| Credential | CFNP |
| Practice Address |
1 Jarrett White Rd Tripler Amc HI 96859-5001 |
| Mailing Address |
1 Jarrett White Road Tripler Army Medical Center Tripler Amc HI 96859-5000 |
| Practice Telephone | 8084338622 |
| Practice Fax Number | 8084338334 |
| Mailing Telephone | 8084338622 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2017-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024165406 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770144826 | James Beasley IIi | Emergency Medical Technician, Basic | 302 Coke Ln, Alvin, TX 77511-3411 | 2019-06-27 |
| 1700490711 | James Allen Beasley | Counselor | 200 S Broad St Ste 205a, New Orleans, LA 70119-6447 | 2020-09-07 |
| 1811487556 | James Edward Beasley Jr. | Pharmacist | 44665 Valley Central Way, Lancaster, CA 93536-6500 | 2018-05-17 |
| 1760924583 | James Darren Beasley | Physical Therapy Assistant | 301 Andrews Avenue, Fort Rucker, AL 36360 | 2016-11-10 |
| 1285019380 | James Calvin Beasley Jr. | Nurse Practitioner | 5959 Park Ave, Memphis, TN 38119-5200 | 2015-07-30 |
| 1629497458 | James Beasley | Substance Abuse Rehabilitation Facility | 21360 N 1450 E, Moroni, UT 84646 | 2014-04-09 |
| 1689696817 | James Michael Beasley | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-07-24 |
| Street Address |
1 JARRETT WHITE RD |
| City | TRIPLER AMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1477199149 | Thomas Petersen | Physical Therapist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-11-18 |
| 1285277962 | Emily Floyd Simpson | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-10-24 |
| 1659931731 | Melissa Nycole Work | Audiologist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-06-19 |
| 1366000887 | Andrea Moon | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-05-30 |
| 1316500242 | Kaitlin Dresser | Dietitian, Registered | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-04-16 |
| 1366925414 | Quoc Tuan Minh Luong | Licensed Vocational Nurse | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-09-13 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1922591304 | Hannah Russin | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-06-11 |
| 1184116592 | Adam Kisling | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790034908 | Amanda G Garcia | Nurse Practitioner | Quality Services Division (credentials), 1 Jarrett White Road, Tripler Amc, HI 96859-5000 | 2012-09-04 |
| 1285605345 | Elizabeth Anne Peeples | Nurse Practitioner | Jerrett White Road, Tripler Army Medical Center Attn Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-01-27 |
| 1114980976 | Theresa H. Newlin | Nurse Practitioner | 1 Jarrett White Road, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-04-11 |
| 1083680573 | Chiyo Gabriella Lombard | Nurse Practitioner | Jarrett White Road, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | 2006-02-24 |
| 1639140999 | Terri Lynn Yost | Nurse Practitioner | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-01-26 |
| 1518944867 | Linda Garrett Humes | Nurse Practitioner | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2005-12-28 |
| 1184609612 | Debra Ann September | Nurse Practitioner | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678123 | Veronica Alexis Barroga | Nurse Practitioner | 99-705 Holoai St, Aiea, HI 96701-3581 | 2020-10-26 |
| 1477150837 | Jonathan Keeming Cheng | Nurse Practitioner | 46-304 Ahui Nani Pl, Kaneohe, HI 96744-4054 | 2020-10-07 |
| 1255947685 | Carly Paige Aldag | Nurse Practitioner | 14 Aulike St Apt 804, Kailua, HI 96734-2744 | 2020-09-21 |
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1215541644 | Kristen Ashtley Simon | Nurse Practitioner | 91-1020 Makaike St, Ewa Beach, HI 96706-5111 | 2020-09-02 |
| 1417568098 | Marisa Takiguchi | Nurse Practitioner | 1329 Lusitana St Ste 109, Honolulu, HI 96813-2401 | 2020-08-16 |
| 1538770631 | Kara Emi Yoshida | Nurse Practitioner | 1516 Hoolehua St, Pearl City, HI 96782-1727 | 2020-08-12 |
| 1750992806 | Tammy M Mckee | Nurse Practitioner | 66-345 Kaamooloa Rd Apt F, Waialua, HI 96791-9702 | 2020-08-12 |
| 1093326530 | Chloe Bonnie Yester | Nurse Practitioner | 59-401a Kam Hwy, Haleiwa, HI 96712 | 2020-08-10 |
| 1588273759 | Terri-ann Davis | Nurse Practitioner | 91-1752 Puhiko St, Ewa Beach, HI 96706-4838 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER AMC |
| Zip Code | 96859 |
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| 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.