Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tabitha Beaty, NP-C

Individual provider Family Nurse Practitioner · NPI 1619815875

Tabitha Beaty, NP-C is a Nurse Practitioner in Rolla, Missouri. Qualified in 2025, 1 year ago. Works from 3 locations. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2026
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1050 W 10th St
Rolla, MO 65401-2905
Phone: (573) 364-9000
Fax: (573) 426-2108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 458-8899
  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 364-9000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2026009157 (MO)

Record details

NPI number1619815875
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMarch 23, 2026
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address1050 W 10th St, Rolla, MO 65401-2905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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