Individual provider Active NPI

Jadealyn Beckwith, RBT

  • Behavior Technician
  • Omaha, NE
National Provider Identifier
1770324790
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-362084 Issued in NE
Practice address
310 Regency Pkwy #115
Omaha, NE 68114
Phone
(515) 207-5251
NPI assigned
Jun 4, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-362084 NE Primary

Addresses

Primary practice location

310 Regency Pkwy #115
Omaha, NE 68114

Mailing address

310 Regency Pkwy #115
Omaha, NE 68114
Phone (515) 207-5251

Other names 1

  • Jade Beckwith Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@stridecenter.com

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

State licenses

LicenseStateTypeSpecialty
RBT-24-362084NEMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1770324790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 REGENCY PKWY #115",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "515-207-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 REGENCY PKWY #115",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "515-207-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "JADEALYN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NE",
            "license": "RBT-24-362084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@stridecenter.com",
            "affiliation": "N",
            "address_1": "310 Regency Pkwy #115",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "68114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "BECKWITH",
            "credential": "RBT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.