Active NPI
Katherine Becerra, NNP-BC
- Neonatal Nurse Practitioner
- Richland, WA
National Provider Identifier
1467908756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP60661953
- Practice address
- 888 Swift Blvd
Richland, WA 99352-3514 - Phone
- (509) 942-2909
- Fax
- (509) 942-2185
- NPI assigned
- Aug 28, 2016
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | AP60661953 | WA | Primary |
Addresses
Primary practice location
888 Swift Blvd
Richland, WA 99352-3514
Mailing address
2811 Tieton Dr
Yakima, WA 98902-3761
Other names 1
- Katherine Ann Wieking
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Past | Accepting new patients | |
| Pediatrix Medical Group of Washington Inc PS | Neonatal | Past | Accepting new patients |
Locations
914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516
1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
- Neonatal-Perinatal Medicine Physician
- Seattle, WA
- NPI 1144327859
-
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1467908756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 TIETON DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523514",
"telephone_number": "509-942-2909",
"fax_number": "509-942-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECERRA",
"first_name": "KATHERINE",
"credential": "NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "WA",
"license": "AP60661953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "WIEKING",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.