Individual provider Active NPI

Becky J Guthrie, FNP

  • Women's Health Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1124328257
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
A086738 Issued in IA
Practice address
2884 Aaa CT
Bettendorf, IA 52722-3406
Phone
(563) 296-3100
Fax
(833) 907-2398
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 209008366 IL
Gynecology Physician 207VG0400X A086738 IA
Family Nurse Practitioner 363LF0000X 209.008366 IL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209.008366 IL
Women's Health Nurse Practitioner 363LW0102X A086738 IA Primary

Addresses

Primary practice location

2884 Aaa CT
Bettendorf, IA 52722-3406

Mailing address

23414 80TH Ave N
Port Byron, IL 61275-9633
Phone (309) 337-9187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110322000314 IL Practitioner - Nurse Practitioner 8921281460 Reassigns benefits to 1 organization
I20160218002403 IA Practitioner - Nurse Practitioner 8921281460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4626 Progress Dr
Suite B
Davenport, IA 52807-3485
Phone (563) 296-7730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209008366ILMDObstetrics & Gynecology Physician
A086738IAMDWomen's Health Nurse Practitioner
209.008366ILMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health LLC Women'S Health CurrentSince Feb 17, 2025 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Aug 14, 2021 Accepting new patients
Hammond Henry Dist Hospital Current Accepting new patients

Locations

4626 Progress Dr
Ste B
Davenport, IA 52807
Phone (563) 296-7730

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

1258 W South St
Ste 2
Kewanee, IL 61443

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1124328257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23414 80TH AVE N",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612759633",
            "telephone_number": "309-337-9187",
            "fax_number": "833-907-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 AAA CT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223406",
            "telephone_number": "563-296-3100",
            "fax_number": "833-907-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "BECKY",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "209008366",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IA",
            "license": "A086738",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.008366",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209.008366",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "A086738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.