Individual provider Active NPI

Jessica L Beckham, ARNP

  • Family Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1285447003
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61649775 Issued in WA
Practice address
3333 164TH St SW Apt 2337
Lynnwood, WA 98087-3112
Phone
(425) 750-8107
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61649775 WA Primary

Addresses

Primary practice location

3333 164TH St SW Apt 2337
Lynnwood, WA 98087-3112

Mailing address

3333 164TH St SW Apt 2337
Lynnwood, WA 98087-3112
Phone (425) 750-8107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312003568 WA Practitioner - Nurse Practitioner 7315468857 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61649775WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tulalip Tribes of Washington Quil Ceda Creek Counseling CurrentSince Jul 14, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Feb 6, 2025 Accepting new patients
Tulalip Tribes of Washington Quil Ceda Creek Counseling CurrentSince Jul 14, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

6330 31st Ave NE
#101
Tulalip, WA 98271
Phone (360) 716-2200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1285447003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 164TH ST SW APT 2337",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873112",
            "telephone_number": "425-750-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 164TH ST SW APT 2337",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873112",
            "telephone_number": "425-750-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHAM",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61649775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.