MRS. ANDREA NACOLE BECK (NPI# 1356649222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356649222 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA NACOLE BECK |
| Credential | MS, RD/LD |
| Practice Address |
3315 Kethley Rd Shawnee OK 74804-9638 |
| Practice Telephone | 4052735801 |
| Practice Fax Number | 4058783794 |
| Mailing Telephone | 4052735801 |
| Mailing Fax Number | 4058783794 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1651 | OK | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13 Mojave Dr, Shawnee, OK 748015527 | 4059240390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487032975 | Andrea Beck | Acupuncturist | 5440 Morehouse Dr, 1700, San Diego, CA 92121-1798 | 2015-05-15 |
| 1245532662 | Andrea C Beck | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2010-11-18 |
| 1396910600 | Andrea Montis Beck | Internal Medicine | 2400 Patterson St, Suite 400, Nashville, TN 37203-1562 | 2008-04-28 |
| Street Address |
3315 KETHLEY RD |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-9638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689844 | Troy R Norred | Internal Medicine | 3315 Kethley Rd, Shawnee, OK 74804 | 2005-06-16 |
| 1104462167 | Shawnee Medical Center Clinic, Inc | Durable Medical Equipment & Medical Supplies | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2019-11-25 |
| 1215579743 | Emily Marie Hawkins | Occupational Therapist | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2019-10-16 |
| 1205301231 | Shawnee Medical Center Clinic, Inc | Social Worker | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2018-10-05 |
| 1871084863 | Courtney T Brady | Physical Therapist | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2018-05-24 |
| 1790204667 | April Troxel | Physical Therapy Assistant | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2017-09-12 |
| 1609308881 | Machaille Borgsmiller | Family Medicine | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2017-03-28 |
| 1922548072 | Jessica L Strong | Nurse Practitioner | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2017-03-07 |
| 1629518295 | Jacob Borgsmiller | Family Medicine | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2017-03-02 |
| 1477007698 | Aaron Hayes | Physical Therapist | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255772059 | Laura E Hernandez | Dietitian, Registered | 7100 Aminda Dr, Shawnee, KS 66227-2116 | 2013-07-10 |
| 1568695401 | Judy Ann Wegman | Dietitian, Registered | 18601 Midland Drive, Shawnee, KS 66218 | 2009-08-26 |
| 1164686655 | Carrye Luree Wells | Dietitian, Registered | 804 E Georgia St, Shawnee, OK 74804-3039 | 2008-07-14 |
| 1639266414 | Nichole Rene' Johnson | Dietitian, Registered | 2 E. Main Street, Shawnee, OK 74801 | 2006-10-05 |
| 1407322860 | Taylor Conrad | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-10-23 |
| 1942795448 | Magdelon Gilbert | Dietitian, Registered | 2345 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2018-06-27 |
| 1558727602 | Morgan Blackstock | Dietitian, Registered | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2016-01-05 |
| 1255709580 | Madison Dahl | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-09-03 |
| 1053745646 | Torie Ann Fuller | Dietitian, Registered | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2013-08-30 |
| 1568802098 | Jennifer Laura Wade | Dietitian, Registered | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2013-06-28 |
| Find all providers in SHAWNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.