Active NPI
Debra S Beck, RN
- Administrator Registered Nurse
- Eugene, OR
National Provider Identifier
1750435210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 201809150RN
- Practice address
- 1390 E. 13TH Avenue
Eugene, OR 97403 - Phone
- (541) 341-8393
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 092018 | MO | |
| Administrator Registered Nurse | 163WA2000X | 201809150RN | OR | Primary |
Addresses
Primary practice location
1390 E. 13TH Avenue
Eugene, OR 97403
Mailing address
3261 Jayhawk CT
Eugene, OR 97405-6266
Phone (131) 432-4222
Other practice location 1
1 Brookings Dr
CB 1201
Saint Louis, MO 63130-4862
Phone (314) 935-6649
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | @uoregon.edu | ||
| Other URL | @uoregon.edu |
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 |
|---|---|---|---|
| 092018 | MO | MD | Registered Nurse |
| 201809150RN | OR | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1750435210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3261 JAYHAWK CT",
"city": "EUGENE",
"state": "OR",
"postal_code": "974056266",
"telephone_number": "131-432-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 E. 13TH AVENUE",
"city": "EUGENE",
"state": "OR",
"postal_code": "97403",
"telephone_number": "541-341-8393"
}
],
"practiceLocations": [
{
"address_1": "1 Brookings Dr",
"address_2": "CB 1201",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631304862",
"country_code": "US",
"telephone_number": "314-935-6649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECK",
"first_name": "DEBRA",
"middle_name": "S",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2023-01-18",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "092018",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "OR",
"license": "201809150RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "@uoregon.edu",
"affiliation": "N",
"address_1": "1390 E. 13th Avenue",
"city": "Eugene",
"state": "OR",
"country_code": "US",
"postal_code": "97403",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "@uoregon.edu",
"affiliation": "N",
"address_1": "1390 E. 13th Avenue",
"city": "Eugene",
"state": "OR",
"country_code": "US",
"postal_code": "97403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.