Brenda C Beck, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2004025084 Issued in MO

Practice address

126 Missouri Ave
Fort Leonard Wood, MO 65473-8952

Phone

(573) 596-1766

Fax

(573) 596-1400

NPI assigned

Dec 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1184926636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 HARLOW LN",
            "city": "DIXON",
            "state": "MO",
            "postal_code": "654598421",
            "telephone_number": "573-759-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-596-1766",
            "fax_number": "573-596-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "BRENDA",
        "middle_name": "C",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2004025084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyloh Faith Bates, RN
• Risa Dee Bator, FNP
• Brandie Lynn Bax, RN
• Kelly Lee Bean
• Kelsey Lea Bean, M.D.
• Kelly Ann Belinger Sahr, MSW LCSW
• Marcus L Bell
• Chalonnie Bennett, RN
• Keri Sue Bennett, RN
• Robert George Bercier Jr., D.C.

• Licensed Practical Nurse in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.