Active NPI
Kelli L Beckvermit-Prine, NNP
- Neonatal Nurse Practitioner
- Erie, CO
National Provider Identifier
1184673337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 83622
- Practice address
- 5346 Fir Ave
Erie, CO 80516-9733 - Phone
- (303) 828-3658
- NPI assigned
- May 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 83622 | CO | Primary |
Addresses
Primary practice location
5346 Fir Ave
Erie, CO 80516-9733
Mailing address
5346 Fir Ave
Erie, CO 80516-9733
Phone (303) 828-3658
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83622 | CO | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1184673337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5346 FIR AVE",
"city": "ERIE",
"state": "CO",
"postal_code": "805169733",
"telephone_number": "303-828-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5346 FIR AVE",
"city": "ERIE",
"state": "CO",
"postal_code": "805169733",
"telephone_number": "303-828-3658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKVERMIT-PRINE",
"first_name": "KELLI",
"middle_name": "L",
"credential": "NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CO",
"license": "83622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.