Jacqueline Beckwith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200650004NP Issued in OR

Practice address

37400 Bell St
Sandy, OR 97055-7868

Phone

(503) 668-3483

Fax

(503) 668-1892

NPI assigned

Jan 5, 2006

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canby Healthcare Clinic LLC

  • Primary Care Clinic/Center
  • Canby, OR
  • NPI 1083915508
  NPD (past)
• Canby Healthcare Clinic LLC

  • Rural Health Clinic/Center
  • Canby, OR
  • NPI 1114253713
  NPD (past)
• Clackamas County

  dba Sunnyside Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Clackamas, OR
  • NPI 1891042487
  NPD (past)
• Division Street Family Practice Clinic PC

  • Family Medicine Physician
  • Oregon City, OR
  • NPI 1659316131
  NPD (past)
• Joseph P Stapleton MD, PC

  dba Portland Pain Care

  • Pain Medicine (Anesthesiology) Physician
  • Portland, OR
  • NPI 1376728097
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1366420739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KAEN RD",
            "address_2": "STE 367",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454035",
            "telephone_number": "503-742-5300",
            "fax_number": "503-742-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37400 BELL ST",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557868",
            "telephone_number": "503-668-3483",
            "fax_number": "503-668-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200650004NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaley Brianne Archibald Goers, FNP
• Nancy Ashley, CADC III
• Avamere Sandy Operations, LLC (Avamere at Sandy)
• Jonessa Felices Barrios, PMHNP
• Lisa Bayer, LMT
• Emily C Bennett, RN
• Bruce Alan Biermann, DMD
• Beth Ann Biggs, LMT
• Chelsea Boppre, DC
• James Lewis Born, PSY.D.

• Family Nurse Practitioner in Sandy, OR
• Providers in Sandy, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.