Active NPI
Scott Alfred Becker, RN
- Critical Care Medicine Registered Nurse
- Milwaukee, WI
National Provider Identifier
1689726945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 110464
- Practice address
- 4828 W Silver Spring Dr
Milwaukee, WI 53218-3440 - Phone
- (414) 535-5826
- Fax
- (414) 535-5957
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 110464 | WI | Primary |
Addresses
Primary practice location
4828 W Silver Spring Dr
Milwaukee, WI 53218-3440
Mailing address
127 Glenview Ave
Wauwatosa, WI 53213-3315
Phone (414) 258-2588
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110464 | WI | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689726945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 GLENVIEW AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532133315",
"telephone_number": "414-258-2588",
"fax_number": "414-535-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4828 W SILVER SPRING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532183440",
"telephone_number": "414-535-5826",
"fax_number": "414-535-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "SCOTT",
"middle_name": "ALFRED",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WI",
"license": "110464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.