Active NPI
Beverly Atwood Beck, M.ED, CCC-SLP, RN
- Ambulatory Women's Health Care Registered Nurse
- Wilmington, NC
National Provider Identifier
1578663076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 115732
- Practice address
- 3311 Burnt Mill Dr
Wilmington, NC 28403-2654 - Phone
- (910) 251-5817
- NPI assigned
- Sep 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 115732 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | 1351 | NC |
Addresses
Primary practice location
3311 Burnt Mill Dr
Wilmington, NC 28403-2654
Mailing address
626 Wedgewood Rd
Whiteville, NC 28472-2931
Phone (910) 641-0917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7414264 | Medicaid | NC |
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
- Credentials
- Master of Education, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115732 | NC | MD | Ambulatory Women's Health Care Registered Nurse |
| 1351 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1578663076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 WEDGEWOOD RD",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722931",
"telephone_number": "910-641-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 BURNT MILL DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032654",
"telephone_number": "910-251-5817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "BEVERLY",
"middle_name": "ATWOOD",
"name_prefix": "Mrs.",
"credential": "M.ED, CCC-SLP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "NC",
"license": "115732",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1351",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7414264",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.