Individual provider Active NPI

Jacqueline Mae Beckford, ARNP

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1548921877
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014556 Issued in FL
Practice address
2230 SW 87TH Way
Miramar, FL 33025-2091
Phone
(786) 443-7014
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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 APRN11014556 FL Primary

Addresses

Primary practice location

2230 SW 87TH Way
Miramar, FL 33025-2091

Mailing address

2230 SW 87TH Way
Miramar, FL 33025-2091
Phone (786) 443-7014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240216000551 CA Practitioner - Nurse Practitioner 9830533900 Reassigns benefits to 1 organization
I20250304002110 OH Practitioner - Nurse Practitioner 9830533900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians

Practice addresses (Care Compare)

1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (800) 282-6741

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11014556FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Dec 13, 2023 Accepting new patients
Dignity Health Current Accepting new patients
Dignity Health CurrentSince Dec 13, 2023 Accepting new patients
Marion Area Physicians LLC CurrentSince Dec 21, 2024 Accepting new patients

Locations

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Dept L3652
Columbus, OH 43260

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1548921877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SW 87TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252091",
            "telephone_number": "786-443-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 SW 87TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252091",
            "telephone_number": "786-443-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKFORD",
        "first_name": "JACQUELINE",
        "middle_name": "MAE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.