Eadeen Beck

Primary specialty

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

Practice address

36 Kendrick Rd
Wakefield, MA 01880-4308

Phone

(617) 866-7629

NPI assigned

Aug 2, 2022

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1053048801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KENDRICK RD",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018804308",
            "telephone_number": "617-866-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 KENDRICK RD",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018804308",
            "telephone_number": "617-866-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "EADEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "104003793",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BMC",
            "affiliation": "Y",
            "affiliationName": "Boston Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "85 E Newton St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021183553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsey Chloe Bautista
• Suleidy Bautista
• Bay State Brace Co Inc
• Brenda Joyce Baylis, CERTIFIED DOULA
• Sharyn Beaver, M.S., OTR.L
• Genevieve Beer
• Tyrese Tevahn Belanis
• Linda Anne Bell
• Thomas Bell, BCBA
• Jacklyn J Benassi, FNP

• Student in an Organized Health Care Education/Training Program in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.