MS. JESSICA L BEACOME (NPI# 1003969916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003969916 |
Entity Type | Individual |
Full Name | MS. JESSICA L BEACOME |
Credential | ACNP |
Practice Address |
16001 W 9 Mile Rd 101 Fischer Center Southfield MI 48075-4818 |
Practice Telephone | 2488498716 |
Practice Fax Number | 2488492565 |
Mailing Telephone | 2488498716 |
Mailing Fax Number | 2488492565 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704233135 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
16001 W 9 MILE RD 101 FISCHER CENTER |
City | SOUTHFIELD |
State | MI |
Zip Code | 48075-4818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114929338 | Sally Rae Arbuckle | Registered Nurse | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2005-06-01 |
1730780651 | Jennifer Bekes | Nurse Anesthetist, Certified Registered | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-11-06 |
1497361133 | Matthew Hoffman | Nurse Anesthetist, Certified Registered | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-09-18 |
1447866215 | Marisa Mcalister | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4803 | 2020-09-17 |
1629682935 | John Michael Faraj | Registered Nurse | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-09-03 |
1861017337 | Adnan Basheer | Internal Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-06-10 |
1891319885 | Seti Kelemework Belay | Radiology | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-06-04 |
1467076851 | Alexa Rae Arvidson | Internal Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-06-02 |
1275157638 | Angela Niezgoda | Obstetrics & Gynecology | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-06-02 |
1942824453 | Marc Thomas Zughaib | Internal Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
Find all providers in zip 48075 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790782621 | Ann Marie Bhat | Nurse Practitioner | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2005-07-07 |
1619463619 | Melanie Jean Swoboda | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2018-07-03 |
1407358575 | Shereen Michelle Patten | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2018-03-06 |
1366956252 | Jennifer Anne Larade | Nurse Practitioner | 16001 West Nine Mile Road, 3rd Floor Fisher Building, Southfield, MI 48075 | 2017-11-30 |
1598282949 | Erica Rochelle Iuliani | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2017-08-26 |
1578931275 | Sita Gadde | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2015-09-11 |
1861888406 | Breanna Taurence | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2015-04-10 |
1457753956 | Michael Jakubik | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2014-09-16 |
1629494422 | Tara L Walker | Nurse Practitioner | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2014-03-17 |
1386980167 | Barbara Ann Morton | Nurse Practitioner | 18444 W 10 Mile Rd, Suite 102, Southfield, MI 48075-2653 | 2012-12-22 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48075 |
Please comment or provide details below to improve the information on MS. JESSICA L BEACOME.
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.