Active NPI
Donna Beckett, NP
- Nurse Practitioner
- Bluefield, WV
National Provider Identifier
1891749693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 36473
- Practice address
- 500 Cherry St
Bluefield, WV 24701-3306 - Phone
- (304) 327-1100
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1225563679
-
- Emergency Medicine Physician
- Bluefield, WV
- NPI 1326482266
-
- Emergency Medicine Physician
- Bluefield, WV
- NPI 1073627089
Nurse Practitioner
-
- General Acute Care Hospital
- Bluefield, WV
- NPI 1407805633
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
Nurse Practitioner
-
- Hospitalist Physician
- Bluefield, WV
- NPI 1750850319
-
- Family Medicine Physician
- Bluefield, WV
- NPI 1518273507
-
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1184890808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050622001394 | WV | Practitioner - Nurse Practitioner | 6608811369 | |
| I20200504001980 | VA | Practitioner - Nurse Practitioner | 6608811369 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36473 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Bluefield Emergency Physicians Inc | Nurse Practitioner | Past | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Bluefield Regional Medical Center | Past | Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Past | Accepting new patients | |
| Bluefield Regional Medical Center Inc | Past | Accepting new patients | |
| Bluefield Emergency Group, LLC | Past | Accepting new patients | |
| Integrated WV LLC | Past | Accepting new patients |
Locations
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Interoperability endpoints
- dbecke04@yourcarecommunity.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 36473 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
500 Cherry St
Bluefield, WV 24701-3306
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Other identifiers 5
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00378828 | Other | RR MEDICARE | |
| 001836212 | Other | WV | WV BC/BS |
| 1068121 | Other | WV | WV DWC |
| 3810002565 | Other | WV | WV MCD |
| 010354005 | Medicaid | VA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2009.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1891749693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CHERRY ST",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247013306",
"telephone_number": "304-327-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKETT",
"first_name": "DONNA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "36473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00378828",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BC/BS",
"identifier": "001836212",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV DWC",
"identifier": "1068121",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV MCD",
"identifier": "3810002565",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010354005",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.