ALYSSA MICHELLE BEACH
NPI 1902480460
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Q: What is Alyssa Beach's NPI number?

The NPI number for Alyssa Beach is 1902480460. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Q: What is Alyssa Beach'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 Alyssa Beach was last updated on May 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2021PECOS Enrolled

3601 4TH ST, LUBBOCK, TX 79430(806) 743-2978 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alyssa Michelle Beach NPPES

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

ALYSSA MICHELLE BEACH (NPI 1902480460) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902480460

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALYSSA MICHELLE BEACH

Location Address3601 4TH STLubbock, TX 79430-0002

Mailing Address223 Indiana Ave Apt 3311Lubbock, TX 79415-5372

Phone(806) 743-2978

Sole ProprietorYes

Enumeration DateMay 11, 2021

NPPES CertifiedMay 11, 2021

✔ NPI 1902480460 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.

3601 4TH ST, Lubbock, TX 79430

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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)

Alyssa Michelle Beach 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.

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