Active NPI
Theresa Marie Vanbecelaere, A.R.N.P.
- Primary Care Nurse Practitioner
- Pittsburg, KS
National Provider Identifier
1487930582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 53-75540-062
- Practice address
- 1701 S Broadway St
Pittsburg State University, Student Health Center
Pittsburg, KS 66762-5856 - Phone
- (620) 235-4452
- Fax
- (620) 235-6135
- NPI assigned
- Nov 2, 2011
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 53-75540-062 | KS | Primary |
Addresses
Primary practice location
1701 S Broadway St
Pittsburg State University, Student Health Center
Pittsburg, KS 66762-5856
Mailing address
1701 S Broadway St
Pittsburg State University, Student Health Center
Pittsburg, KS 66762-5856
Phone (620) 235-4452
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75540-062 | KS | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psu Student Health Center | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Pittsburg, KS
- NPI 1710273388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1487930582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S BROADWAY ST",
"address_2": "PITTSBURG STATE UNIVERSITY, STUDENT HEALTH CENTER",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667625856",
"telephone_number": "620-235-4452",
"fax_number": "620-235-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S BROADWAY ST",
"address_2": "PITTSBURG STATE UNIVERSITY, STUDENT HEALTH CENTER",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667625856",
"telephone_number": "620-235-4452",
"fax_number": "620-235-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBECELAERE",
"first_name": "THERESA",
"middle_name": "MARIE",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "KS",
"license": "53-75540-062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.