Jennifer Davila Beckwith, RC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

RC00058053 Issued in WA

Practice address

14270 NE 21St St
Sound Mental Health - Rainbow Creek
Bellevue, WA 98007-3720

Phone

(425) 653-5000

NPI assigned

Jun 5, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer Anne Davila Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1003075896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E OLIVE ST",
            "address_2": "SOUND MENTAL HEALTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222735",
            "telephone_number": "206-302-2200",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14270 NE 21ST ST",
            "address_2": "SOUND MENTAL HEALTH - RAINBOW CREEK",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073720",
            "telephone_number": "425-653-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "JENNIFER",
        "middle_name": "DAVILA",
        "name_prefix": "Mrs.",
        "credential": "RC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RC00058053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DAVILA",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce A Beaulaurier, OD
• Melinda M Beck, ND
• Sofia Lydia Gonzalez Beck, PA-C
• Brenda K. Beckett
• Keith David Beckman, LMP
• Kristin Erin Bedard, OTR/L
• Lisa R. Bedard, PT
• William E Bedell, RMHC
• Joi Beene, DENTAL HYGIENIST
• Jenna Lynne Kruger Behrman, PA-C

• Student in an Organized Health Care Education/Training Program in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.