Individual provider Active NPI

Beverly Atwood Beck, M.ED, CCC-SLP, RN

  • Ambulatory Women's Health Care Registered Nurse
  • Wilmington, NC
National Provider Identifier
1578663076
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
115732 Issued in NC
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7414264MedicaidNC

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

LicenseStateTypeSpecialty
115732NCMDAmbulatory Women's Health Care Registered Nurse
1351NCMDPhysical 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.

Verify at the official NPI Registry.