MRS. JODIE LYNN BEARD RN NPI 1104956259

NPI Information

NPI: 1104956259
Provider Name: MRS. JODIE LYNN BEARD, RN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3188 BELLEVUE AVE
CINCINNATI, OH
ZIP 45219
Phone: (000) 000-0000
Get Directions

MRS. Jodie Lynn Beard, RN is a gerontology nurse practitioner in Cincinnati, OH. MRS. Jodie Lynn Beard, RN NPI is 1104956259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3188 BELLEVUE AVE
CINCINNATI, OH
ZIP 45219-369
Phone: (000) 000-0000

The NPI 1104956259 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		ARNP.CNP.0031627	OHIO	No
2	374U00000X	Home Health Aide		2678455	OHIO	No
3	363LG0600X	Nurse Practitioner	Gerontology	ARNP.CNP.0031627	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2678455	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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