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BEACON ADVANCED PRACTICE GROUP LLC
NPI 1114881877
Nurse Practitioner - Family in St Augustine, FL

Active since December 16, 2025
335 TAMAR CT, ST AUGUSTINE, FL 32095(904) 366-9981(629) 899-7995 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beacon Advanced Practice Group Llc NPPES

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

BEACON ADVANCED PRACTICE GROUP LLC (NPI 1114881877) is a healthcare organization registered as a family in St Augustine, Florida and active in the NPI registry since December 2025. The organization lists Irina Vella, Owner / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114881877
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBEACON ADVANCED PRACTICE GROUP LLC
Location Address335 TAMAR CTSt Augustine, FL 32095-7539
Mailing Address335 Tamar CtSt Augustine, FL 32095-7539 · (904) 366-9981 · Fax (629) 899-7995
Phone(904) 366-9981
Fax(629) 899-7995
Organization SubpartNo
Authorized OfficialIrina VellaOwner / Authorized Official · (904) 366-9981
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1114881877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
335 TAMAR CT, St Augustine, FL 32095
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Advanced Practice Group LLC's NPI number?

The NPI number for Beacon Advanced Practice Group LLC is 1114881877. It was assigned to this organization in the NPPES registry on December 16, 2025.

Where is Beacon Advanced Practice Group LLC located?

Beacon Advanced Practice Group LLC is located at 335 Tamar Ct, St Augustine, FL 32095. The listed phone number is (904) 366-9981.

What is Beacon Advanced Practice Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Beacon Advanced Practice Group LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.