Individual provider Active NPI

Jennifer Kay Beam, RRT

  • General Care Registered Respiratory Therapist
  • Salem, OR
National Provider Identifier
1538696174
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Registered Respiratory TherapistTaxonomy code 2279G1100X
License
RTP10135828 Issued in OR
Practice address
3000 Market St NE Ste 541
Salem, OR 97301-1835
Phone
(971) 301-8309
Fax
(971) 301-8310
NPI assigned
May 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory Therapist 2279G1100X RTP10135828 OR Primary

Addresses

Primary practice location

3000 Market St NE Ste 541
Salem, OR 97301-1835

Mailing address

3000 Market St NE Ste 316
Salem, OR 97301-1810
Phone (971) 717-5171

Other names 1

  • Jennifer Kay Golsan Former name

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
RTP10135828ORMDGeneral Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1538696174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 316",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011810",
            "telephone_number": "971-717-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 541",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011835",
            "telephone_number": "971-301-8309",
            "fax_number": "971-301-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAM",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-14",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "OR",
            "license": "RTP10135828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GOLSAN",
            "middle_name": "KAY",
            "credential": "RRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.