Amy Beckman, MS, ATC, CSCS
Individual provider Active NPI Athletic Trainer · Macomb, IL
NPI 1730116591 · NPPES record last updated Nov 12, 2009
Key facts
- NPI
- 1730116591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 096.002864 (IL)
- Practice address
- 1 University Circle
Western Illinois University Athletics
Macomb, IL 61455 - Phone
- (505) 925-5540
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.002864 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Athletic Trainer | 2255A2300X | 096.002864 | IL | Yes |
Addresses
Primary practice location
1 University Circle
Western Illinois University Athletics
Macomb, IL 61455
Mailing address
170 S Yorktown Rd
Macomb, IL 61455-9404
Phone (774) 261-0590
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.