Active NPI
Michelle B Beccio, CRNP
- Nurse Practitioner
- Lutherville Timonium, MD
National Provider Identifier
1770144032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R212850
- Practice address
- 1 Texas Station CT Ste 210
Lutherville Timonium, MD 21093-8288 - Phone
- (410) 683-3380
- NPI assigned
- Jun 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R212850 | MD | Primary |
Addresses
Primary practice location
1 Texas Station CT Ste 210
Lutherville Timonium, MD 21093-8288
Mailing address
6701 N. Charles Street
S. Chapman Building, Suite 102
Baltimore, MD 21204
Other names 1
- Michelle Segundo
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R212850 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beleza Aesthetic Medicine | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Hampstead, MD
- NPI 1588241236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1770144032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 N. CHARLES STREET",
"address_2": "S. CHAPMAN BUILDING, SUITE 102",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TEXAS STATION CT STE 210",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210938288",
"telephone_number": "410-683-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECCIO",
"first_name": "MICHELLE",
"middle_name": "B",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R212850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "SEGUNDO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lutherville Timonium, MD
- Prem Bharati Ankalgi Devkota, LCPC
- Rafael Andres Arguelles, LMSW
- Marie Dominique Ashen, C.R.N.P.
- Baltimore County Lutherville Dialysis, LLC
- Michael Alexander Barton, DMD
- Berberich Health Enterprises LLC
- Berberich Health Enterprises LLC
- Beyond Nursing Care, LLC
- Beyond Nursing Care, LLC
- Beyond Nursing Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.