Individual provider Active NPI

Tanya Dayer Beccan, LPN

  • Licensed Practical Nurse
  • Mount Vernon, NY
National Provider Identifier
1407100647
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
290992-1 Issued in NY
Practice address
322 S 6TH Ave
PH
Mount Vernon, NY 10550-4114
Phone
(914) 602-6064
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 290992-1 NY Primary

Addresses

Primary practice location

322 S 6TH Ave
PH
Mount Vernon, NY 10550-4114

Mailing address

322 S 6TH Ave
PH
Mount Vernon, NY 10550-4114
Phone (914) 602-6064

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
290992-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1407100647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S 6TH AVE",
            "address_2": "PH",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504114",
            "telephone_number": "914-602-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S 6TH AVE",
            "address_2": "PH",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504114",
            "telephone_number": "914-602-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECCAN",
        "first_name": "TANYA",
        "middle_name": "DAYER",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "290992-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.