CMS-1500 Box 24J / 33a • NPI
1164087011
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
364SA2100X (CMS 89)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Acute Care
Box 32 Service Location & ZIP+4
2900 LAMB CIR, CHRISTIANSBURG, VA, 24073-6344
✓ 9-Digit EDI 837 ZIP+4 (24073-6344)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1164087011 (DESIREE BEASLEY, MSN, RN, CCRN, CCNS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1164087011 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DESIREE BEASLEY, MSN, RN, CCRN, CCNS |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Acute Care NUCC Code: 364SA2100X (Clinical Nurse Specialist, Acute Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2900 LAMB CIR, CHRISTIANSBURG, VA, 24073-6344 |
| Practice Telephone / Fax | Tel: (540) 731-2000 |
| Administrative Mailing Address | 404 TODD ST, RADFORD, VA, 24141-4006 |
| Enumeration & Last Sync | Enumerated: 2019-05-07 | CMS Record Updated: 2019-05-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (364SA2100X)
What Does Taxonomy Code 364SA2100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SA2100X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Acute Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DESIREE BEASLEY, MSN, RN, CCRN, CCNS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: VA | License: 0001208135 | Primary: Secondary |
364SA2100X — Clinical Nurse Specialist, Acute CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Acute Care | State: VA | License: 0015001010 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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