CAROL BEALL (NPI# 1508953076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508953076 |
Entity Type | Individual |
Full Name | CAROL BEALL |
Credential | NP |
Practice Address |
326 S Woodscrest Dr Bloomington IN 47401-5314 |
Mailing Address |
3004 Forest Ridge Dr Bloomington IN 47401-9639 |
Practice Telephone | 8123533333 |
Practice Fax Number | 8123238528 |
Mailing Telephone | 8128247164 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71000655A | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831288653 | Carol Virginia Beall | Social Worker | 1587 Daytona Ave, Holly Hill, FL 32117-2236 | 2006-10-11 |
Street Address |
326 S WOODSCREST DR |
City | BLOOMINGTON |
State | IN |
Zip Code | 47401-5314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902801798 | Matthew S Reeves | Emergency Medicine | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 | 2005-06-17 |
1518430537 | Lauren Cantor | Physician Assistant | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 | 2019-01-03 |
1942453147 | Frank Nelson Young | Nurse Practitioner | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 | 2008-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
Find all providers in zip 47401 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
1962588657 | Cecelia L Smith | Nurse Practitioner | 637 S Walker, Suite 2, Bloomington, IN 47403-2175 | 2006-10-27 |
1942392675 | Bradley J Cole | Nurse Practitioner | 2406 East Empire, Bloomington, IL 61704 | 2006-09-29 |
1205364494 | Hena Naz Shah | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-06-01 |
1730616756 | Julia Dmitri Jesme | Nurse Practitioner | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2017-05-22 |
1275914020 | Jaclyn Rose Guetzko | Nurse Practitioner | 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 | 2015-06-17 |
1548669112 | Jennifer Phelps | Nurse Practitioner | 455 S Landmark Ave, Bloomington, IN 47403-5004 | 2014-08-19 |
1497181507 | Lindsey Ann Mehran-rezaii | Nurse Practitioner | 8101 34th Ave S, Ms26602g, Bloomington, MN 55425-1692 | 2013-09-20 |
1487901997 | Angela Vogt | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2012-08-14 |
1962711333 | Kathleen P Price | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2010-10-01 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47401 |
Please comment or provide details below to improve the information on CAROL BEALL.
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.