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MR. SIDNEY MAX BEASLEY II ANP
NPI 1639290323
Nurse Practitioner - Family in Springdale, AR

Active since April 02, 2007
4001 WAGON WHEEL RD, SPRINGDALE, AR 72762(479) 725-3000(479) 725-3098 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2019, Sep 5, 2019 (2 updates tracked since 2019).

About Mr. Sidney Max Beasley Ii Anp NPPES

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

MR. SIDNEY MAX BEASLEY II ANP (NPI 1639290323) is an individual family provider in Springdale, Arkansas, licensed in Arkansas (A01629) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1639290323
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SIDNEY MAX BEASLEY IICredential: ANP
Location Address4001 WAGON WHEEL RDSpringdale, AR 72762-0137
Mailing AddressPo Box 1065Lowell, AR 72745-1065 · (479) 725-3000 · Fax (479) 725-3098
Phone(479) 725-3000
Fax(479) 725-3098
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateNovember 4, 20192 updates tracked since enumeration
✔ NPI 1639290323 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
License✔ Licensed in AR · A01629
4001 WAGON WHEEL RD, Springdale, AR 72762
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Other Providers at the Same Location NPPES 11

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

MRS. TAMMY NEZ YOUNG RD
Dietitian, Registered
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3043
AMANDA GAIL BELL
Nurse Practitioner (Occupational Health)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3001
BOBBIE JO KOMERS APRN
Nurse Practitioner
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
MR. JOHN DANIEL NICHOLAS PA-C
Physician Assistant
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
ARKANSAS OCCUPATIONAL MEDICINE SERVICES PA
Specialist
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
KACIE LARAE FELTON
Nurse Practitioner (Family)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
ARKANSAS OCCUPATIONAL HEALTH CLINIC
Nurse Practitioner (Occupational Health)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3001
NORTHWEST ARKANSAS PHYSICAL ABILITY TESTING CENTER INC
Clinic/Center (Physical Therapy)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3043

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 Sidney Beasley's NPI number?

The NPI number for Sidney Beasley is 1639290323. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Sidney Beasley located?

Sidney Beasley practices at 4001 Wagon Wheel Rd, Springdale, AR 72762. The listed phone number is (479) 725-3000.

What is Sidney Beasley'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 Sidney Beasley was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.