Individual provider Active NPI

Lavonne Faye Beckler, ADULT NURSE PRACTITI

  • Adult Health Nurse Practitioner
  • Fergus Falls, MN
National Provider Identifier
1932272721
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R068756-2 Issued in MN
Practice address
CBHH- Fergus Falls,1801 W Alcott Ave
Fergus Falls, MN 56537-0478
Phone
(218) 332-5001
Fax
(218) 739-1329
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Adult Health Nurse Practitioner 363LA2200X R068756-2 MN Primary

Addresses

Primary practice location

CBHH- Fergus Falls,1801 W Alcott Ave
Fergus Falls, MN 56537-0478

Mailing address

CBHH- Fergus Falls,1801 W Alcott Ave
Fergus Falls, MN 56537-0478
Phone (218) 332-5001

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

State licenses

LicenseStateTypeSpecialty
R068756-2MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fergus Falls Regional Treatment Center Past Accepting new patients
Community Addiction Recovery Enterprise Fergus Falls Past Accepting new patients
Community Behavioral Health Hospital-Fergus Falls PastSince Oct 1, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932272721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CBHH- FERGUS FALLS,1801 W ALCOTT AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565370478",
            "telephone_number": "218-332-5001",
            "fax_number": "218-739-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CBHH- FERGUS FALLS,1801 W ALCOTT AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565370478",
            "telephone_number": "218-332-5001",
            "fax_number": "218-739-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLER",
        "first_name": "LAVONNE",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "ADULT NURSE PRACTITI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R068756-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

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.