Individual provider Active NPI

Beth Etta Magee-Siefert, MSN APN CPNP

  • Pediatric Nurse Practitioner
  • Glassboro, NJ
National Provider Identifier
1922094515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NN05957700 Issued in NJ
Practice address
124 Persimmon St
Glassboro, NJ 08028-2840
Phone
(856) 256-9310
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NN05957700 NJ Primary

Addresses

Primary practice location

124 Persimmon St
Glassboro, NJ 08028-2840

Mailing address

124 Persimmon St
Glassboro, NJ 08028-2840
Phone (856) 256-9310

Other names 1

  • Ms. Beth Etta Magee Former name

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
Certified Pediatric Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
26NN05957700NJMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922094515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PERSIMMON ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282840",
            "telephone_number": "856-256-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PERSIMMON ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282840",
            "telephone_number": "856-256-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE-SIEFERT",
        "first_name": "BETH",
        "middle_name": "ETTA",
        "name_prefix": "Mrs.",
        "credential": "MSN APN CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN05957700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MAGEE",
            "middle_name": "ETTA",
            "prefix": "MS.",
            "credential": "CPNP RNC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.