STEPHANIE BEALL


Address: 1000 S Beckham Ave, Tyler, TX 75701-1908
Phone: 9035970351

STEPHANIE BEALL (NPI# 1477063865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477063865
Entity Type Individual
Full Name STEPHANIE BEALL
Practice Address 1000 S Beckham Ave
Tyler
TX 75701-1908
Mailing Address 280 Bush Buck Way
Bullard
TX 75757-0147
Practice Telephone 9035970351
Enumeration Date 2017-10-11
Last Update Date 2019-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered AP136340 TX Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers STEPHANIE BEALL

NPI Name Taxonomy Address Enumeration
1346725389 Stephanie L Beall Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2018-09-26
1033606520 Stephanie A Beall Nurse Practitioner 1266 Asheville Hwy Ste 5, Brevard, NC 28712-3479 2018-04-19
1902118615 Stephanie Beall Pharmacist 2931 Central City Ave, Galveston, TX 77551 2010-07-10
1477746915 Stephanie Beall Specialist 901 Dulaney Valley Rd, Suite 616; Dulaney Center II, Towson, MD 21204-2600 2007-08-18

Office Location

Street Address 1000 S BECKHAM AVE
City TYLER
State TX
Zip Code 75701-1908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740280510 Aleksandra Olsson-detwiler Internal Medicine 1000 S Beckham Ave, Tyler, TX 75701-1908 2005-07-22
1831706431 Kalana Sanders Registered Nurse 1000 S Beckham Ave, Tyler, TX 75701-1908 2020-09-28
1992333975 Graceanne M. Dimon Physical Therapist 1000 S Beckham Ave, Tyler, TX 75701-1908 2020-03-27
1760021976 Gerardo Tapia Hernandez Nurse Practitioner 1000 S Beckham Ave, Tyler, TX 75701-1908 2020-01-06
1861950057 Brittany Mason Ferguson Nurse Practitioner 1000 S Beckham Ave, Tyler, TX 75701-1908 2019-03-06
1255801189 Shane Ashley Correa Nurse Practitioner 1000 S Beckham Ave, Tyler, TX 75701-1908 2018-12-04
1174000962 David Matthew Burkland Nurse Practitioner 1000 S Beckham Ave, Tyler, TX 75701-1908 2018-07-24
1598251209 Kelsey Rene Morton Nurse Practitioner 1000 S Beckham Ave, Tyler, TX 75701-1908 2018-07-05
1063915916 Tyler Regional Hospital LLC Surgery 1000 S Beckham Ave, Tyler, TX 75701-1908 2018-03-16
1437650264 Tyler Regional Hospital LLC Nurse Anesthetist, Certified Registered 1000 S Beckham Ave, Tyler, TX 75701-1908 2018-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689801367 David R Gibson Nurse Anesthetist, Certified Registered 100 S Beckham Ave, Tyler, TX 75702-7501 2009-06-19
1659556470 Stephen Keith Young Nurse Anesthetist, Certified Registered 774 S Beckham Ave, Tyler, TX 75701-1902 2007-12-31
1629053624 Betsy M Mowery Nurse Anesthetist, Certified Registered 4534 Triggs Trce, Tyler, TX 75709-5430 2005-12-13
1902898323 Novamed Surgery Center of Tyler, Lp Nurse Anesthetist, Certified Registered 802 Turtle Creek Drive, Tyler, TX 75701 2005-08-22
1437650264 Tyler Regional Hospital LLC Nurse Anesthetist, Certified Registered 1000 S Beckham Ave, Tyler, TX 75701-1908 2018-02-27
1407366529 Anthony Chase Warren Nurse Anesthetist, Certified Registered 1000 S Beckham Ave, Tyler, TX 75701-1908 2017-10-03
1841731379 Rafael Delacruz Nurse Anesthetist, Certified Registered 800 E Dawson St, Tyler, TX 75701-2036 2017-03-16
1700325412 Stephanie Diane Moseley Nurse Anesthetist, Certified Registered 800 E Dawson St, Tyler, TX 75701-2036 2017-02-14
1043758162 Jeffrey Manglicmot Nurse Anesthetist, Certified Registered 800 E Dawson St, Tyler, TX 75701-2036 2017-02-09
1902343791 Chad William Morgan Nurse Anesthetist, Certified Registered 800 E Dawson St, Tyler, TX 75701 2017-01-31
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City TYLER
Zip Code 75701

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Dataset Information

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.

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