Becky L Bockenhauer, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209-005058 Issued in IL

Practice address

9300 Valley Childrens PL
Madera, CA 93636-8761

Phone

(559) 353-6600

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Becky L Melahn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1942359567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-3000",
            "fax_number": "559-353-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Summit St",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601204362",
            "country_code": "US",
            "telephone_number": "847-742-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCKENHAUER",
        "first_name": "BECKY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209-005058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "MELAHN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Irene Jeanette Blanco, LCSW
• Uwe Blecker, MD
• Brandon Michael Bleeker
• Caroline Boccarossa
• Charlotte Bocian
• Jaime Helen Joe Bohlman, MD
• Michael Scott Bohlman, M.D.
• Daniel Robles Bonilla, RNFA
• Kayla Bonilla
• Brandon Book

• Pediatric Nurse Practitioner in Madera, CA
• Providers in Madera, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.