Brooke B Beck, CNM – Advanced Practice Midwife

Key facts

NPI: 1205328705
Entity type: Individual (NPI type 1)
Primary specialty: Advanced Practice Midwife 367A00000X
License: 201703714NP-PP (OR)
Practice address: 1532 Siskiyou Blvd
Ashland, OR 97520
Phone: (541) 344-9411
Fax: (541) 344-6519
NPI assigned: May 31, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

Planned Parenthood of the Columbia/Willamette, Inc. Multi-Specialty Clinic/Center · Portland, OR · NPI 1053311860

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Certified Nurse Midwife, Master of Science - Nursing

State licenses

License	State	Type	Specialty
201703714NP-PP	OR	MD	Advanced Practice Midwife

Practice roles

Organization	Specialty	Status	New patients
Planned Parenthood of the Columbia/Willamette, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Advanced Practice Midwife	367A00000X	201703714NP-PP	OR	Yes

Addresses

Primary practice location

1532 Siskiyou Blvd
Ashland, OR 97520

Mailing address

3579 Franklin Blvd
Eugene, OR 97403-2356
Phone (541) 344-9411

Other identifiers

Identifier	Type	State	Issuer
500744460	Medicaid	OR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 6, 2018.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1205328705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 FRANKLIN BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032356",
            "telephone_number": "541-344-9411",
            "fax_number": "541-344-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SISKIYOU BLVD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-344-9411",
            "fax_number": "541-344-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "BROOKE",
        "middle_name": "B",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201703714NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500744460",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

All providers in Ashland, OR · Advanced Practice Midwife in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.