Beatrice State Developmental Center

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

964 Issued in NE

Legal business name

BEATRICE STATE DEVELOPMENTAL CENTER

Practice address

3000 Lincoln Blvd
Beatrice, NE 68310-3319

Phone

(402) 223-6600

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Ashelford, RD, LMNT

Title

Dietitian

Phone

(402) 806-2681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1265709745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 LINCOLN BLVD",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LINCOLN BLVD",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103319",
            "telephone_number": "402-223-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATRICE STATE DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "ASHELFORD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "402-806-2681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RD, LMNT"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NE",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Family Chiropractic, PC
• Beatrice Medical Center PC
• Beatrice Personal Nursing
• Beatrice Physical Therapy & Helath Clinic
• Beatrice Public Schools
• Beatrice State Developmental Center
• Mackenzie Beavers, PLMHP
• Megan Rae Beavers, APRN-NP
• Janice Beck
• Christine Ann Beckman, B.S.N., L.M.T.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.