Dianna L Beck, FNP
Individual provider
Active NPI
Nurse Practitioner · Jackson, OH
NPI 1457501090 · NPPES record last updated Nov 25, 2020
Key facts
- NPI
- 1457501090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN.CNP.10268 (OH)
- Practice address
- 280 Pattonsville Rd
Jackson, OH 45640-9452
- Phone
- (855) 446-5937
- NPI assigned
- Sep 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
City of Marietta Public Health or Welfare Agency · Marietta, OH · NPI 1316983273
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| APRN.CNP.10268 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|
| City of Marietta |
|
Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Nurse Practitioner |
363L00000X |
APRN.CNP.10268 |
OH |
Yes |
Addresses
Primary practice location
280 Pattonsville Rd
Jackson, OH 45640-9452
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 589-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 2931966 | Medicaid | OH | |
| 3810013564 | Medicaid | WV | |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Direct Messaging Address |
dianna.beck.1@17389.direct.athenahealth.com |
|
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