Individual provider Active NPI

Theresa Marie Vanbecelaere, A.R.N.P.

  • Primary Care Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1487930582
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
53-75540-062 Issued in KS
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

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
53-75540-062KSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.