Individual provider Active NPI

Amelia Beville

  • Specialist
  • Salem, OR
National Provider Identifier
1093625089
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BAP-E-10264953 Issued in OR
Practice address
3000 Market St NE Ste 327
Salem, OR 97301-1834
Phone
(971) 707-0387
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BAP-E-10264953 OR Primary

Addresses

Primary practice location

3000 Market St NE Ste 327
Salem, OR 97301-1834

Mailing address

522 Flamingo Ave
Springfield, OR 97477-7511
Phone (818) 389-8248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1093625089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 FLAMINGO AVE",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777511",
            "telephone_number": "818-389-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 327",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011834",
            "telephone_number": "971-707-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILLE",
        "first_name": "AMELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "BAP-E-10264953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.