Active NPI
Ann Myriah Beck, FNP-BC
- Family Nurse Practitioner
- South Charleston, WV
National Provider Identifier
1831743616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 104082
- Practice address
- 4610 Maccorkle Ave SW # 300
South Charleston, WV 25309 - Phone
- (304) 766-3688
- NPI assigned
- Jul 30, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 104082 | WV | Primary |
Addresses
Primary practice location
4610 Maccorkle Ave SW # 300
South Charleston, WV 25309
Mailing address
4610 Maccorkle Ave SW # 300
South Charleston, WV 25309
Phone (304) 766-3688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190925000746 | WV | Practitioner - Nurse Practitioner | 7618207226 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Charleston Cardiology Associates | Current | Accepting new patients |
Locations
4607 Maccorkle Ave SW
Ste 300
South Charleston, WV 25309
Phone (304) 766-3688
4607 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-2800
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1831743616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 MACCORKLE AVE SW # 300",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "25309",
"telephone_number": "304-766-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 MACCORKLE AVE SW # 300",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "25309",
"telephone_number": "304-766-3688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "ANN",
"middle_name": "MYRIAH",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "104082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.