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BEELINE HEALTH, PLLC
NPI 1316827504
Nurse Practitioner - Family in Jacksonville, TX

Active since September 06, 2025CLIA 45D2330320 · Waiver
305 W RUSK ST, JACKSONVILLE, TX 75766(903) 721-0112 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beeline Health, Pllc NPPES

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

BEELINE HEALTH, PLLC (NPI 1316827504) is a healthcare organization registered as a family in Jacksonville, Texas and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Beryl Thompson, Owner/family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1316827504
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBEELINE HEALTH, PLLC
Location Address305 W RUSK STJacksonville, TX 75766-2337
Mailing Address305 W Rusk StJacksonville, TX 75766-2337 · (903) 393-3594
Phone(903) 721-0112
Organization SubpartNo
Authorized OfficialBeryl ThompsonOwner/family Nurse Practitioner · (903) 393-3594
Enumeration DateSeptember 6, 2025
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1316827504 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
305 W RUSK ST, Jacksonville, TX 75766
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2330320

Beeline Health, PLLC · Jacksonville, TX
Active · expires Sep 14, 2027
CLIA Number45D2330320
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorBeryl Thompson
Laboratory Phone(903) 721-0112
Laboratory LocationBeeline Health, PLLC305 W Rusk St, Jacksonville, TX 75766
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KRISTIN WHITE APRN, FNP-C
Nurse Practitioner (Family)
305 W RUSK ST
JACKSONVILLE, TX 75766
Cherokee County (903) 500-8252
EAST TEXAS EYE CARE ASSOCIATES PLLC
Technician/Technologist (Optician)
305 W RUSK ST
JACKSONVILLE, TX 75766
Cherokee County (903) 586-9611
BERYL THOMPSON APRN, FNP
Nurse Practitioner (Family)
305 W RUSK ST
JACKSONVILLE, TX 75766
Cherokee County (903) 393-3594

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 Beeline Health, PLLC's NPI number?

The NPI number for Beeline Health, PLLC is 1316827504. It was assigned to this organization in the NPPES registry on September 6, 2025.

Where is Beeline Health, PLLC located?

Beeline Health, PLLC is located at 305 W Rusk St, Jacksonville, TX 75766. The listed phone number is (903) 721-0112.

What is Beeline Health, PLLC's specialty?

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

Does Beeline Health, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2330320) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beeline Health, PLLC was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.