MEDICARE: MRS. KATHARINE LOUISE BEECHAM FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NP0000007108	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0285430	OTHER		ANCC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	103706	OTHER	TN	RN
4	7108	OTHER	TN	APN

General Provider Information

NPI Number	:	1447238795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHARINE LOUISE BEECHAM FNP

Provider Business Mailing Address
First Line	:	642 STANVID DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-1127
Country	:	US
Telephone Number	:	615-668-8343
Fax Number	:

Provider Business Practice Location Address
First Line	:	642 STANVID DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-1127
Country	:	US
Telephone Number	:	615-668-8343
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	12/10/2012

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