Active NPI
Joni Rae Beckman, PA-C
- Medical Physician Assistant
- Lincoln, NE
National Provider Identifier
1770675795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1324
- Practice address
- 600 S 70TH St
Lincoln, NE 68510-2451 - Phone
- (402) 489-3802
- Fax
- (402) 486-7861
- NPI assigned
- Sep 28, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1324 | NE | Primary |
Addresses
Primary practice location
600 S 70TH St
Lincoln, NE 68510-2451
Mailing address
600 S 70TH St
Lincoln, NE 68510-2451
Phone (402) 484-6677
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1324 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1770675795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102451",
"telephone_number": "402-484-6677",
"fax_number": "402-484-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102451",
"telephone_number": "402-489-3802",
"fax_number": "402-486-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMAN",
"first_name": "JONI",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "1324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.