Individual provider Active NPI

Jamison Beek

  • Genetic Counselor (M.S.)
  • Minneapolis, MN
National Provider Identifier
1366864787
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
1088 Issued in MN
Practice address
902 E 26TH St Ste 1700
Minneapolis, MN 55404
Phone
(651) 241-6332
Fax
(612) 863-2930
NPI assigned
Jan 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X
Genetic Counselor (M.S.) 170300000X 1088 MN Primary

Addresses

Primary practice location

902 E 26TH St Ste 1700
Minneapolis, MN 55404

Mailing address

902 E 26TH St Ste 1700
Minneapolis, MN 55404-4514
Phone (651) 241-6332

Other practice location 1

737 Broadway N
Fargo, ND 58102-4421
Phone (701) 234-2362

Other practice location 2

737 Broadway N
Fargo, ND 58102-4421
Phone (701) 234-2362

Other identifiers 2

IdentifierTypeStateIssuer
1366864787MedicaidND
1518909563MedicaidMN

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1088MNMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Past Accepting new patients

Organizations & group practices 1

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1366864787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 26TH ST STE 1700",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044514",
            "telephone_number": "651-241-6332",
            "fax_number": "612-863-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 26TH ST STE 1700",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "651-241-6332",
            "fax_number": "612-863-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 Broadway N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581024421",
            "country_code": "US",
            "telephone_number": "701-234-2362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "737 Broadway N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581024421",
            "country_code": "US",
            "telephone_number": "701-234-2362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEEK",
        "first_name": "JAMISON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MN",
            "license": "1088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366864787",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518909563",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.