Individual provider Active NPI

Becky L Ahmed, NP-C

  • Adult Health Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1164849865
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
202201769NP-PP Issued in OR
Practice address
364 SE 8TH Ave Ste 108a
Hillsboro, OR 97123-4253
Phone
(503) 640-3687
Fax
(503) 640-3688
NPI assigned
Mar 20, 2014
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 073384-23 NH
Nurse Practitioner 363L00000X 113681 CT
Adult Health Nurse Practitioner 363LA2200X 5683 CT
Adult Health Nurse Practitioner 363LA2200X 202201769NP-PP OR Primary

Addresses

Primary practice location

364 SE 8TH Ave Ste 108a
Hillsboro, OR 97123-4253

Mailing address

364 SE 8TH Ave Ste 108a
Hillsboro, OR 97123-4253
Phone (503) 640-3687

Other names 1

  • Becky L Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, OR2 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
I20160613001670 NH Practitioner - Nurse Practitioner 8820221096 Reassigns benefits to 2 organizations
I20220627002165 OR Practitioner - Nurse Practitioner 8820221096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

10000 SE Main St
Suite 350
Portland, OR 97216-2474
Phone (971) 262-9800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5683CTMDDentist
113681CTMDNurse Practitioner
073384-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Apr 25, 2016 Accepting new patients
Mid-Columbia Medical Center CurrentSince Jun 1, 2023 Accepting new patients
University Professional Services CurrentSince Jun 6, 2022 Accepting new patients
University Professional Services CurrentSince Jun 6, 2022 Accepting new patients
University Professional Services Current Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 25, 2016 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Apr 25, 2016 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

87 McGregor St
Manchester, NH 03102
Phone (603) 629-1828

87 McGregor St
Ste 4100
Manchester, NH 03102
Phone (603) 467-7333

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

364 SE 8th Ave
Ste 108A
Hillsboro, OR 97123
Phone (503) 640-3687

10000 SE Main St
Ste 350
Portland, OR 97216
Phone (971) 262-9800

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

Interoperability endpoints

  • Direct secure messaging: bahmed141372@direct.ohsu.edu
  • Direct secure messaging: banderson217929@direct.dartmouth-hitchcock.org

Organizations & group practices 9

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

Hospital & facility affiliations 2

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": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1164849865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 SE 8TH AVE STE 108A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234253",
            "telephone_number": "503-640-3687",
            "fax_number": "503-640-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SE 8TH AVE STE 108A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234253",
            "telephone_number": "503-640-3687",
            "fax_number": "503-640-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "BECKY",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "073384-23",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "113681",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "5683",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "202201769NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "ANDERSON",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.