Individual provider Active NPI

Christine Deidre Beck, APRN

  • Family Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1477998540
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-1113 Issued in HI
Practice address
200 W Kawili St
Uh Hilo Student Medical Services
Hilo, HI 96720-4075
Phone
(808) 974-7636
Fax
(808) 933-0868
NPI assigned
May 2, 2013
Last updated
May 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-1113 HI Primary

Addresses

Primary practice location

200 W Kawili St
Uh Hilo Student Medical Services
Hilo, HI 96720-4075

Mailing address

200 W Kawili St
Ucb 255
Hilo, HI 96720-4075
Phone (808) 933-1138

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
APRN-1113HIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1477998540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W KAWILI ST",
            "address_2": "UCB 255",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204075",
            "telephone_number": "808-933-1138",
            "fax_number": "808-974-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W KAWILI ST",
            "address_2": "UH HILO STUDENT MEDICAL SERVICES",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204075",
            "telephone_number": "808-974-7636",
            "fax_number": "808-933-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "CHRISTINE",
        "middle_name": "DEIDRE",
        "name_prefix": "Prof.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.