Amy Beckwith
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Pine, CO
NPI 1336097369 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1336097369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 673737 (NY)
- Practice address
- 601 Lodgepole Dr
Pine, CO 80470-7918 - Phone
- (315) 651-2284
- NPI assigned
- Mar 17, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 673737 | NY | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 673737 | NY | Yes |
Addresses
Primary practice location
601 Lodgepole Dr
Pine, CO 80470-7918
Mailing address
601 Lodgepole Dr
Pine, CO 80470-7918
Other providers in Pine, CO
All providers in Pine, CO · Psychiatric/Mental Health Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2026. 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.