ANGELA ALDRIDGE BEEM (NPI# 1033622063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033622063 |
| Entity Type | Individual |
| Full Name | ANGELA ALDRIDGE BEEM |
| Practice Address |
5965 I 55 N Jackson MS 39213 |
| Mailing Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6018155315 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
902298 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05601764 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5965 I 55 N, Jackson, MS 39213 | 6018155315 |
| Street Address |
5965 I 55 N |
| City | JACKSON |
| State | MS |
| Zip Code | 39213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649397373 | Upa Pllc North Clinic | Pediatrics | 5965 I 55 N, Jackson, MS 39213-9722 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219129 | Esther Epstein | Nurse Practitioner | 9 Dorchester Ct, Jackson, NJ 08527-2221 | 2020-06-12 |
| 1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
| 1285778639 | Felesia R Bowen | Nurse Practitioner | 17 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2007-02-19 |
| 1972500536 | Colleen Chadderton | Nurse Practitioner | 760 W Franklin St, Jackson, MI 49201-2048 | 2005-06-28 |
| 1942817366 | Jenna Rhodig | Nurse Practitioner | 1418 E Michigan Ave, Jackson, MI 49202-3518 | 2020-09-29 |
| 1407466428 | Alexandra Brittain | Nurse Practitioner | 19 Security Dr, Jackson, TN 38305-3626 | 2020-08-04 |
| 1184189680 | Lyndi Nicole Ryan | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-02-08 |
| 1487123923 | Leah Lenaee Warner | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-11-14 |
| 1356826044 | Kaelyn Monroe | Nurse Practitioner | 2100 4th St, Jackson, MI 49203-4518 | 2018-09-27 |
| 1104300615 | Emileigh S Williams | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-09-20 |
| Find all providers in JACKSON | ||||
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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.