Individual provider Active NPI

Abby Jill Beckman, N.D.

  • Naturopath
  • Sammamish, WA
National Provider Identifier
1386858009
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT00001561 Issued in WA
Practice address
2830 228TH Ave SE
Sammamish, WA 98075-9300
Phone
(425) 417-9738
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT00001561 WA Primary

Addresses

Primary practice location

2830 228TH Ave SE
Sammamish, WA 98075-9300

Mailing address

3020 Issaquah Pine Lake Rd SE # 344
Sammamish, WA 98075-7253
Phone (425) 417-9738

Other names 1

  • Abby Jill Monster Professional name

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
NT00001561WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386858009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 ISSAQUAH PINE LAKE RD SE # 344",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757253",
            "telephone_number": "425-417-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 228TH AVE SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759300",
            "telephone_number": "425-417-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "ABBY",
        "middle_name": "JILL",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "MONSTER",
            "middle_name": "JILL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.