MRS. AMY REBECCA BEACH (NPI# 1629045026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629045026 |
| Entity Type | Individual |
| Full Name | MRS. AMY REBECCA BEACH |
| Credential | CRNP |
| Practice Address |
1684 Foote Avenue Ext Jamestown NY 14701-9385 |
| Practice Telephone | 7166619730 |
| Practice Fax Number | 7166619732 |
| Mailing Telephone | 7166619730 |
| Mailing Fax Number | 7166619732 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2012-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F3308961 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 161570481 | 01 | |
| COMM BLUE | 000560438003 | 01 | |
| RAILROAD MEDICARE | CA8673 | 01 | |
| UNIVERA | 00026507402 | 01 | |
| NY | 01568501 | 05 | |
| INDEP HEALTH | 9511745 | 01 | |
| RAILROAD MEDICARE | P00131876 | 01 | |
| DEA NUMBER | MB0380054 | 01 | |
| NY | LIC | F3308961 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617708 | Amy Grace Beach | Pharmacist | 46 Paddington Cir, Smithtown, NY 11787-5901 | 2005-05-27 |
| 1417166893 | Amy Boyce Beach | Counselor | 1515 Mockingbird Ln, Suite540, Charlotte, NC 28209-3236 | 2007-05-22 |
| Street Address |
1684 FOOTE AVENUE EXT |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-9385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002906 | Tariq Mahmood Khan | Pediatrics | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2005-06-08 |
| 1891392122 | Amy Jo Caldwell | Nurse Practitioner | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2020-10-09 |
| 1861028623 | Leda Marie Marangoni | Physician Assistant | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2020-03-12 |
| 1851934491 | Kaitlin Marie Walsh | Pediatrics | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2019-10-28 |
| 1154888683 | Heidi Brown | Nurse Practitioner | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2019-02-20 |
| 1952765372 | Joanna Linn Olson | Physician Assistant | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2016-04-12 |
| 1336414796 | Lyndsey Marie Carlson | Physician Assistant | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2012-03-19 |
| 1871778308 | Maria Isabel Diaz | Pediatrics | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2008-01-03 |
| 1881884526 | Katie Marie Bell | Physician Assistant | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2007-07-30 |
| 1710902200 | Southern Tier Pediatrics Practice, P.C. | Pediatrics | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588989008 | Jamestown Healthcare Clinic, LLC | Nurse Practitioner | 1417 N. Main St, Jamestown, KY 42629 | 2010-03-29 |
| 1801079660 | Lynda K Heath | Nurse Practitioner | 119 Hereford Curve Rd, Jamestown, KY 42629 | 2007-12-14 |
| 1548362502 | Kara A Falk | Nurse Practitioner | 721 A 1st Ave S, Jamestown, ND 58401-4723 | 2006-09-01 |
| 1346262839 | Patricia Dardis | Nurse Practitioner | 520 3rd Ave Nw, Jamestown, ND 58401-3016 | 2006-07-24 |
| 1841211125 | Rose Ann R Flick | Nurse Practitioner | 880 E 2nd St, Jamestown, NY 14701-3824 | 2006-07-21 |
| 1922062710 | Beverly A Szukis | Nurse Practitioner | 1538 Harbor Springs Rd, Jamestown, KY 42629-7970 | 2006-04-17 |
| 1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1891781696 | Grenetta L Ritenour | Nurse Practitioner | 4940 Cottonville Rd Ste 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1609873843 | Kathryn N. Westall | Nurse Practitioner | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2005-07-01 |
| 1891392122 | Amy Jo Caldwell | Nurse Practitioner | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2020-10-09 |
| Find all providers in JAMESTOWN | ||||
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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.