Active NPI
Becky Ann Pickard, ATC
- Specialist
- Genesee, ID
National Provider Identifier
1114975307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AT-252
- Practice address
- 330 W Ash St
Genesee, ID 83832 - Phone
- (208) 285-1162
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | AT-252 | ID | Primary |
Addresses
Primary practice location
330 W Ash St
Genesee, ID 83832
Mailing address
231 E Walnut St
Genesee, ID 83832-8723
Phone (208) 285-1162
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-252 | ID | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114975307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E WALNUT ST",
"city": "GENESEE",
"state": "ID",
"postal_code": "838328723",
"telephone_number": "208-285-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W ASH ST",
"city": "GENESEE",
"state": "ID",
"postal_code": "83832",
"telephone_number": "208-285-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKARD",
"first_name": "BECKY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "AT-252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Genesee, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.