Active NPI
Joshua Becasen, MPH, RD
- Registered Dietitian
- Whiteriver, AZ
National Provider Identifier
1063177756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.09427
- Practice address
- 200 West Hospital Drive
Whiteriver, AZ 85941 - Phone
- (928) 338-3579
- NPI assigned
- Nov 8, 2021
- Last updated
- Dec 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.09427 | OH | Primary |
Addresses
Primary practice location
200 West Hospital Drive
Whiteriver, AZ 85941
Mailing address
4850 S White Mountain Rd Apt a-6
Show Low, AZ 85901-7854
Phone (619) 947-1175
Other names 1
- Josh Lou Segundo Becasen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Desktop | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.09427 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1063177756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 S WHITE MOUNTAIN RD APT A-6",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017854",
"telephone_number": "619-947-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST HOSPITAL DRIVE",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "85941",
"telephone_number": "928-338-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECASEN",
"first_name": "JOSHUA",
"credential": "MPH, RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-08",
"last_updated": "2021-12-17",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.09427",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Desktop",
"affiliation": "N",
"endpointDescription": "Desktop",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 West Hospital Drive",
"city": "Whiteriver",
"state": "AZ",
"country_code": "US",
"postal_code": "85941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOSH",
"last_name": "SEGUNDO BECASEN",
"middle_name": "LOU",
"credential": "MPH, RD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Whiteriver, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.