Individual provider Active NPI

Allison Ann Beck, PA-C

  • Physician Assistant
  • Bethesda, MD
National Provider Identifier
1639146152
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C06669 Issued in MD
Practice address
9000 Rockville Pike MSC 1912 Building 10, RM 5-2440
Bethesda, MD 20892-1705
Phone
(301) 761-6293
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085001176 IL
Physician Assistant 363A00000X 6330 GA
Physician Assistant 363A00000X C06669 MD Primary

Addresses

Primary practice location

9000 Rockville Pike MSC 1912 Building 10, RM 5-2440
Bethesda, MD 20892-1705

Mailing address

9000 Rockville Pike MSC 1912 Building 10, RM 5-2440
Bethesda, MD 20892-0001
Phone (301) 761-6293

Other practice location 1

500 Irvin Ct Ste 200
Decatur, GA 30030-1705
Phone (404) 712-1370

Other practice location 2

500 Irvin Ct Ste 200
Decatur, GA 30030-1705
Phone (404) 712-1370

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085001176ILMDPhysician Assistant
C06669MDMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639146152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 ROCKVILLE PIKE MSC 1912 BUILDING 10, RM 5-2440",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-761-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 ROCKVILLE PIKE MSC 1912 BUILDING 10, RM 5-2440",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921705",
            "telephone_number": "301-761-6293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Irvin Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301705",
            "country_code": "US",
            "telephone_number": "404-712-1370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Irvin Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301705",
            "country_code": "US",
            "telephone_number": "404-712-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "ALLISON",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001176",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6330",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.