SUSAN ELAINE BEATY APRN NPI 1194701276

NPI Information

  • NPI: 1194701276
  • Provider Name: SUSAN ELAINE BEATY, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2620 W FAIDLEY AVE
    WOUND OSTOMY HEALING CENTER
    GRAND ISLAND, NE
    ZIP 68803
  • Phone: (308) 398-5981

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NPI Details

Susan Elaine Beaty, APRN is a family nurse practitioner in Grand Island, NE. Susan Elaine Beaty, APRN NPI is 1194701276. 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:

2620 W FAIDLEY AVE
WOUND OSTOMY HEALING CENTER
GRAND ISLAND, NE
ZIP 68803-205
Phone: (308) 398-5981

The enumeration date for this NPI number is 12/20/2005 and was last updated on 9/24/2014.

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
1163W00000XRegistered Nurse34217NEBRASKANo
2363LF0000XNurse PractitionerFamily110221NEBRASKAYes

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
110025288400MEDICAIDNEBRASKA
247-037-6601-36MEDICAIDNEBRASKA

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: 11/21/2025

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