Individual provider Active NPI

Debra Williams Beckert, REGISTERED NURESE

  • Psychiatric/Mental Health Registered Nurse
  • Martinez, CA
National Provider Identifier
1376981704
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
416178 Issued in CA
Practice address
1340 Arnold Drive
Suite 200
Martinez, CA 94553-5843
Phone
(925) 584-1915
Fax
(925) 754-3401
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 416178 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 416178 CA Primary

Addresses

Primary practice location

1340 Arnold Drive
Suite 200
Martinez, CA 94553-5843

Mailing address

2105 Silverado Dr
Antioch, CA 94509-5843
Phone (925) 584-1915

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

State licenses

LicenseStateTypeSpecialty
416178CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1376981704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 SILVERADO DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095843",
            "telephone_number": "925-584-1915",
            "fax_number": "925-754-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 ARNOLD DRIVE",
            "address_2": "SUITE 200",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945535843",
            "telephone_number": "925-584-1915",
            "fax_number": "925-754-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKERT",
        "first_name": "DEBRA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "416178",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "416178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.