Active NPI
Beth Ann Beck, APRN CWOCN
- Wound Care Registered Nurse
- Joliet, IL
National Provider Identifier
1396472247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 209.016777
- Practice address
- 1201 Eagle St
Joliet, IL 60432-2031 - Phone
- (815) 740-8100
- Fax
- (815) 740-8102
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 209.016777 | IL | Primary |
Addresses
Primary practice location
1201 Eagle St
Joliet, IL 60432-2031
Mailing address
1406 Burger Ave
Joliet, IL 60433-8505
Phone (815) 347-2812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209.016777 | Other | IL | APRN LICENSE NUMBER |
Other names 1
- Mrs. Beth Ann Beck
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | beth.beck@va.gov | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.016777 | IL | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1396472247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 BURGER AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604338505",
"telephone_number": "815-347-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 EAGLE ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604322031",
"telephone_number": "815-740-8100",
"fax_number": "815-740-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "BETH",
"middle_name": "ANN",
"credential": "APRN CWOCN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "IL",
"license": "209.016777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE NUMBER",
"identifier": "209.016777",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "beth.beck@va.gov",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1201 Eagle St",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "604322031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BETH",
"last_name": "BECK",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "APRN CWOCN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.