Active NPI
Cheryl Beckman
- Registered Nurse
- Peoria, IL
National Provider Identifier
1235675836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041251037
- Practice address
- 211 Fulton Street, Suite 207
One Technology Plaza
Peoria, IL 61602 - Phone
- (309) 671-8771
- NPI assigned
- Jan 6, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041251037 | IL | Primary |
Addresses
Primary practice location
211 Fulton Street, Suite 207
One Technology Plaza
Peoria, IL 61602
Mailing address
211 Fulton Street Suite 207
One Technology Plaza
Peoria, IL 61602
Phone (309) 671-8771
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041251037 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1235675836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 FULTON STREET SUITE 207",
"address_2": "ONE TECHNOLOGY PLAZA",
"city": "PEORIA",
"state": "IL",
"postal_code": "61602",
"telephone_number": "309-671-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 FULTON STREET, SUITE 207",
"address_2": "ONE TECHNOLOGY PLAZA",
"city": "PEORIA",
"state": "IL",
"postal_code": "61602",
"telephone_number": "309-671-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMAN",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041251037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.