Active NPI
Teresa M Beckett, ARNP, PA-C
- Physician Assistant
- Ellensburg, WA
National Provider Identifier
1396704524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10003395
- Practice address
- 611 South Chestnut
Suite D
Ellensburg, WA 98926-4815 - Phone
- (509) 933-8700
- Fax
- (509) 933-8705
- NPI assigned
- Mar 17, 2006
- Last updated
- May 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10003395 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP3002067 | WA |
Addresses
Primary practice location
611 South Chestnut
Suite D
Ellensburg, WA 98926-4815
Mailing address
611 South Chestnut
Suite D
Ellensburg, WA 98926-4815
Phone (509) 933-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7831308 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10003395 | WA | MD | Physician Assistant |
| AP3002067 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kittitas County Public Hosp Dist 1 | Current | Accepting new patients |
Locations
611 S Chestnut St
Ste D
Ellensburg, WA 98926
Phone (509) 933-7575
Interoperability endpoints
- tbeckett@kittitasvalleyhealthcare.cernerdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1396704524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 SOUTH CHESTNUT",
"address_2": "SUITE D",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989264815",
"telephone_number": "509-933-8700",
"fax_number": "509-933-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SOUTH CHESTNUT",
"address_2": "SUITE D",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989264815",
"telephone_number": "509-933-8700",
"fax_number": "509-933-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKETT",
"first_name": "TERESA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "ARNP, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10003395",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP3002067",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7831308",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.