Active NPI
Beulah June Rydquist
- Specialist
- Loveland, CO
National Provider Identifier
1144406331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 02681420000
- Practice address
- 2252 Albany CT
Loveland, CO 80538-4139 - Phone
- (970) 669-2593
- Fax
- (970) 663-6132
- NPI assigned
- Jan 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 02681420000 | CO | Primary |
Addresses
Primary practice location
2252 Albany CT
Loveland, CO 80538-4139
Mailing address
2252 Albany CT
Loveland, CO 80538-4139
Phone (970) 669-2593
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 |
|---|---|---|---|
| 02681420000 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1144406331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2252 ALBANY CT",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384139",
"telephone_number": "970-669-2593",
"fax_number": "970-663-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2252 ALBANY CT",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384139",
"telephone_number": "970-669-2593",
"fax_number": "970-663-6132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDQUIST",
"first_name": "BEULAH",
"middle_name": "JUNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "02681420000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.