Individual provider Active NPI

Joy Edwards-Beckett, PHD, DNSC, FNP.C, CW

  • Family Nurse Practitioner
  • Thousand Oaks, CA
National Provider Identifier
1093838583
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16925 Issued in CA
Practice address
2220 Lynn Rd
Suite 102
Thousand Oaks, CA 91360-1904
Phone
(805) 494-1222
Fax
(805) 494-1255
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 563873 CA
Family Nurse Practitioner 363LF0000X 16925 CA Primary
Wound Care Registered Nurse 163WW0000X 2005454535 CA

Addresses

Primary practice location

2220 Lynn Rd
Suite 102
Thousand Oaks, CA 91360-1904

Mailing address

1129 Maricopa Hwy
# 209
Ojai, CA 93023-3167
Phone (805) 907-0876

Other identifiers 2

IdentifierTypeStateIssuer
16925OtherCANP LICENSE
563873OtherCARN LICENSE

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
563873CAMDRegistered Nurse
2005454535CAMDWound Care Registered Nurse
16925CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1093838583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MARICOPA HWY",
            "address_2": "# 209",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233167",
            "telephone_number": "805-907-0876",
            "fax_number": "805-640-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD",
            "address_2": "SUITE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "telephone_number": "805-494-1222",
            "fax_number": "805-494-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS-BECKETT",
        "first_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PHD, DNSC, FNP.C, CW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "563873",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16925",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "2005454535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "16925",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "563873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.