Active NPI
Ruth H Beckham, RN NP
- Nurse Practitioner
- Thornton, CO
National Provider Identifier
1235113085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 63736
- Practice address
- 9005 Grant St
#200
Thornton, CO 80229-4300 - Phone
- (303) 287-2800
- Fax
- (303) 287-7357
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 63736 | CO | Primary |
Addresses
Primary practice location
9005 Grant St
#200
Thornton, CO 80229-4300
Mailing address
9005 Grant St
#200
Thornton, CO 80229-4300
Phone (303) 287-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71950087 | Medicaid | CO | |
| CC4948 | Other | CO | MEDICARE PTAN |
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
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63736 | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1235113085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9005 GRANT ST",
"address_2": "#200",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294300",
"telephone_number": "303-287-2800",
"fax_number": "303-287-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9005 GRANT ST",
"address_2": "#200",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294300",
"telephone_number": "303-287-2800",
"fax_number": "303-287-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKHAM",
"first_name": "RUTH",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "RN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "63736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71950087",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CC4948",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.