Individual provider Active NPI

Agueda Cristina Beck, CNM

  • Advanced Practice Midwife
  • Savannah, GA
National Provider Identifier
1710441225
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
9352045 Issued in FL
Practice address
1218 East 59TH St
Savannah, GA 31404-6136
Phone
(754) 779-3878
Fax
(754) 755-3390
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X APRN9352045 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 9352045 FL
Advanced Practice Midwife 367A00000X 9352045 FL Primary

Addresses

Primary practice location

1218 East 59TH St
Savannah, GA 31404-6136

Mailing address

1218 East 59TH St
Savannah, GA 31404-6136
Phone (754) 779-3878

Other practice location 1

409 W Hallandale Beach Blvd suite 417
Hallandale Beach, FL 33009-6136
Phone (754) 779-3878

Other identifiers 1

IdentifierTypeStateIssuer
9352045OtherFLAPRN LINCESE

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN9352045FLMDSpecialist
9352045FLMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1710441225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 EAST 59TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046136",
            "telephone_number": "754-779-3878",
            "fax_number": "754-755-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 EAST 59TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046136",
            "telephone_number": "754-779-3878",
            "fax_number": "754-755-3390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 W Hallandale Beach Blvd suite 417",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330096136",
            "country_code": "US",
            "telephone_number": "754-779-3878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "AGUEDA",
        "middle_name": "CRISTINA",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "APRN9352045",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "9352045",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9352045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LINCESE",
            "identifier": "9352045",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.