ZACKERY JORDAN BEAUCHAMP MD
NPI 1033811385
Student in an Organized Health Care Education/Training Program in Tampa, FL

Q: What is Zackery Beauchamp's NPI number?

The NPI number for Zackery Beauchamp is 1033811385. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Zackery Beauchamp's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Zackery Beauchamp was last updated on June 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2023PECOS Enrolled

2 TAMPA GENERAL CIR, TAMPA, FL 33606(813) 259-8515 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2024, Mar 20, 2023 (2 updates tracked since 2023).

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About Zackery Jordan Beauchamp Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACKERY JORDAN BEAUCHAMP MD (NPI 1033811385) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033811385

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameZACKERY JORDAN BEAUCHAMPCredential: MD

Location Address2 TAMPA GENERAL CIRTampa, FL 33606-3571

Mailing Address1442 Sw 88th DrGainesville, FL 32607-7002 · (352) 538-4144

Phone(813) 259-8515

Sole ProprietorYes

Enumeration DateMarch 20, 2023

Last NPPES UpdateJune 22, 20242 updates tracked since enumeration

NPPES CertifiedJune 22, 2024

✔ NPI 1033811385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 TAMPA GENERAL CIR, Tampa, FL 33606

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zackery Jordan Beauchamp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.