Jennifer Marie Beaver, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN 9273066 Issued in FL

Practice address

JCT. Hwy 160 & Navajo Route 35 - Red Mesa
Four Corners Regional Health Center
Teec Nos Pos, AZ 86514

Phone

(928) 656-5000

Fax

(928) 656-5164

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Marie Bickle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1023362092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCR 61 BOX 30",
            "address_2": "FOUR CORNERS REGIONAL HEALTH CENTER",
            "city": "TEEC NOS POS",
            "state": "AZ",
            "postal_code": "86514",
            "telephone_number": "928-656-5000",
            "fax_number": "928-656-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JCT. HWY 160 & NAVAJO ROUTE 35 - RED MESA",
            "address_2": "FOUR CORNERS REGIONAL HEALTH CENTER",
            "city": "TEEC NOS POS",
            "state": "AZ",
            "postal_code": "86514",
            "telephone_number": "928-656-5000",
            "fax_number": "928-656-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "FL",
            "license": "RN 9273066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BICKLE",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia J. Anderson
• Karen Austin, RDH
• Lita S. Bahe, RN
• Marie Frances Bastin, RN
• Yelena Baytman, PHARMD
• Christopher Dean Begay
• Genevieve Roy Begay
• Robbie J. Besel, RN
• Frank Gerhardt Bieberly Jr., MD
• Stephen Malcolm Bowers, MD MPH

• Ambulatory Care Registered Nurse in Teec Nos Pos, AZ
• Providers in Teec Nos Pos, AZ by specialty
• Ambulatory Care Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.