Provider Demographics
NPI:1023409091
Name:BECKHAM, LINDSEY M (CRNP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:BECKHAM
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:M
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:931 FAIRFAX PARK
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2805
Mailing Address - Country:US
Mailing Address - Phone:205-343-7316
Mailing Address - Fax:205-343-0834
Practice Address - Street 1:575 SOUTHLAND DR
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35226-3732
Practice Address - Country:US
Practice Address - Phone:205-721-6200
Practice Address - Fax:205-721-6201
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-130438363LA2100X, 363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology