Individual provider Active NPI

Becky Kay Duduit, RN

  • Registered Nurse
  • Clarksburg, OH
National Provider Identifier
1194954917
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 00150479 Issued in WA
Practice address
11063 Main St
Clarksburg, OH 43115-9733
Phone
(740) 993-2328
Fax
(740) 993-2228
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 00150479 WA Primary

Addresses

Primary practice location

11063 Main St
Clarksburg, OH 43115-9733

Mailing address

11063 Main St
Clarksburg, OH 43115-9733
Phone (740) 993-2328

Other names 1

  • Mrs. Becky Kay Ostag Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 00150479WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1194954917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11063 MAIN ST",
            "city": "CLARKSBURG",
            "state": "OH",
            "postal_code": "431159733",
            "telephone_number": "740-993-2328",
            "fax_number": "740-993-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11063 MAIN ST",
            "city": "CLARKSBURG",
            "state": "OH",
            "postal_code": "431159733",
            "telephone_number": "740-993-2328",
            "fax_number": "740-993-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDUIT",
        "first_name": "BECKY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN 00150479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "OSTAG",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.