Individual provider Active NPI

Tracy Beckmann

  • Registered Dietitian
  • Eugene, OR
National Provider Identifier
1093196438
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-D1064029 Issued in OR
Practice address
2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone
(541) 228-3020
Fax
(541) 228-3181
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1081723 OR
Registered Dietitian 133V00000X LD-D1064029 OR Primary

Addresses

Primary practice location

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619

Mailing address

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone (541) 228-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807014373 OR Practitioner - Registered Dietitian Or Nutrition Professional 7214241926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2650 Suzanne Way
Suite 200
Eugene, OR 97408-7619
Phone (541) 228-3019

89 Centennial Loop
Suite a
Eugene, OR 97401-7917
Phone (541) 342-1632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1081723ORMDRegistered Dietitian
LD-D1064029ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Community Health Solutions CurrentSince Jul 1, 2015 Accepting new patients
Willamette Community Health Solutions CurrentSince Jul 1, 2015 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Aug 17, 2017 Accepting new patients
Willamette Community Health Solutions Past Accepting new patients

Locations

2650 Suzanne Way
Ste 160
Eugene, OR 97408
Phone (541) 228-3008

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

3915 River Rd
Eugene, OR 97404
Phone (541) 359-2816

89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1093196438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3020",
            "fax_number": "541-228-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3020",
            "fax_number": "541-228-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMANN",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "1081723",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D1064029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.