Individual provider Active NPI

Joshua Becasen, MPH, RD

  • Registered Dietitian
  • Whiteriver, AZ
National Provider Identifier
1063177756
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.09427 Issued in OH
Practice address
200 West Hospital Drive
Whiteriver, AZ 85941
Phone
(928) 338-3579
NPI assigned
Nov 8, 2021
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
LD.09427OHMDRegistered 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.

Verify at the official NPI Registry.