Active NPI
Jennifer Beck, RD, LDN
- Registered Dietitian
- Fort Polk, LA
National Provider Identifier
1578869350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004469
- Practice address
- Fort Polk
H2F Fitness 2030 14TH Street Building 1830
Fort Polk, LA 71459 - Phone
- (585) 752-5173
- NPI assigned
- Jan 27, 2011
- Last updated
- Oct 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN004469 | PA | Primary |
Addresses
Primary practice location
Fort Polk
H2F Fitness 2030 14TH Street Building 1830
Fort Polk, LA 71459
Mailing address
135 E 38TH St
Erie, PA 16504-1559
Phone (814) 860-2780
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN004469 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1578869350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 E 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165041559",
"telephone_number": "814-860-2780",
"fax_number": "814-860-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FORT POLK",
"address_2": "H2F FITNESS 2030 14TH STREET BUILDING 1830",
"city": "FORT POLK",
"state": "LA",
"postal_code": "71459",
"telephone_number": "585-752-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "JENNIFER",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2021-10-21",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Polk, LA
- Bayne-Jones Army Community Hospital (Usadc Shira-Polk)
- Bayne-Jones Army Community Hospital (Preventive Medicine-Polk)
- Bayne-Jones Army Community Hospital (Usadc-3-Polk)
- Bayne-Jones Army Community Hospital (CTMC-Polk)
- Baynes-Jones Army Community Hospital (Polk Cbpcc Phcy)
- Lizamara Bedolla, FNP-C
- Ann Marguerite Behrends, D.D.S.
- Mathias Orion Bell, LCSW
- Tadd William Berg
- Robert Paul Bergeron, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.