Jaime Lynn Becker, CPNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277000864 Issued in IL

Practice address

224 Bradford LN
Waterloo, IL 62298-3369

Phone

(618) 939-0112

NPI assigned

Mar 14, 2011

Last updated

Jun 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21224/brand/1/csg/1/fhir/r4
• Direct secure messaging: jamie.becker.1@21224.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heart to Heart Pediatrics LLC

  • Pediatric Nurse Practitioner
  • Waterloo, IL
  • NPI 1376192567

  Pediatrics

  NPD
• Counselors Associates

  • Professional Counselor
  • Maryville, IL
  • NPI 1922399682
  NPD (past)
• Right From the Start Pediatrics

  • Pediatrics Physician
  • Breese, IL
  • NPI 1295945798
  NPD (past)

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1740588805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N BECKEMEYER RD",
            "city": "BARTELSO",
            "state": "IL",
            "postal_code": "622181443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BRADFORD LN",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622983369",
            "telephone_number": "618-939-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 Troy Ofallon Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "IL",
            "postal_code": "622942400",
            "country_code": "US",
            "telephone_number": "618-972-1568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CPNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "277000864",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277000864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Lynn Barlow, P.T.
• Margie Baum, MHP
• Darryll Leonard Beard, DMD
• Graham L Beard, D.M.D.
• Amanda Becker, RSA
• John Becker, PT,DPT
• Taylor Becker, COTA/L
• Allison Zoe Biffar
• Sarah Lynn Birkner, PHARMD
• John F Blattner, D.M.D

• Psychiatric/Mental Health Nurse Practitioner in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.