Active NPI
Shellie Lee Beck, RN
- Registered Nurse
- Longview, WA
National Provider Identifier
1821528316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60733401
- Practice address
- 1057 12TH Ave
Longview, WA 98632-2509 - Phone
- (360) 636-3892
- NPI assigned
- Jun 15, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60733401 | WA | Primary |
Addresses
Primary practice location
1057 12TH Ave
Longview, WA 98632-2509
Mailing address
368 Colorado St
Longview, WA 98632
Phone (208) 479-4119
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 |
|---|---|---|---|
| RN60733401 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1821528316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 COLORADO ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "98632",
"telephone_number": "208-479-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 12TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322509",
"telephone_number": "360-636-3892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "SHELLIE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60733401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.