CASSIDY CONNETT BEALL NP NPI 1992264626

NPI Information

  • NPI: 1992264626
  • Provider Name: CASSIDY CONNETT BEALL, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1124 GALLERY PARK BLVD
    WILMINGTON, NC
    ZIP 28412
  • Phone: (910) 343-1031

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NPI Details

Cassidy Connett Beall, NP is a family nurse practitioner in Wilmington, NC with 5 years of experience. Cassidy Connett Beall, NP NPI is 1992264626. 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:

1124 GALLERY PARK BLVD
WILMINGTON, NC
ZIP 28412-142
Phone: (910) 343-1031
Fax: (910) 251-8896

The NPI 1992264626 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 3/12/2019 and was last updated on 5/26/2023.

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
1363LF0000XNurse PractitionerFamilyAPN.0994155-NPCOLORADONo
2363LF0000XNurse PractitionerFamily15743457NORTH CAROLINANo
3363LF0000XNurse PractitionerFamily5017110NORTH CAROLINAYes

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
19000171155MEDICAIDCOLORADO

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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