AMY MARIE BECKER (NPI# 1811192412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811192412 |
| Entity Type | Individual |
| Full Name | AMY MARIE BECKER |
| Other Name | AMY MARIE FARACE |
| Credential | MD |
| Practice Address |
9040 Jackson Ave Tacoma WA 98433 |
| Mailing Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Practice Telephone | 2539680895 |
| Mailing Telephone | 2539680895 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
2014-01254 | NC | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
14896 | HI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1811192412 | 05 | |
| SC | NC2252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356561195 | Amy Becker | Dentist | 1551 N Green St, Suite N, Brownsburg, IN 46112-8162 | 2007-04-26 |
| 1730231770 | Amy L Becker | Physician Assistant | 2315 E Harmony Rd Ste 160, Fort Collins, CO 80528-8620 | 2007-01-18 |
| 1043208341 | Amy Lynne Becker | Dentist | 2 W Dry Creek Cir, 125, Littleton, CO 80120-8068 | 2005-10-11 |
| 1548586332 | Amy Wakabayashi Becker | Physical Therapist | 4105 Ocean View Blvd, Suite A, Montrose, CA 91020-1520 | 2010-04-19 |
| 1922323187 | Amy Becker | Internal Medicine | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2010-03-31 |
| 1982857744 | Amy Kaye Becker | Speech-Language Pathologist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2008-10-24 |
| 1285859140 | Amy Becker | Developmental Therapist | 1665 N 4th St, Breese, IL 62230-1791 | 2007-04-16 |
| 1427195932 | Amy Becker | Physical Therapy Assistant | 3132 Old Jacksonville Rd, Suite 140, Springfield, IL 62704-7400 | 2007-01-31 |
| 1790865210 | Amy Marie Becker | Physical Therapist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-10-17 |
| 1124037643 | Amy Michelle Becker | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-08-05 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1790393213 | Matthew T Ellison | Dentist | Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 | 2020-07-21 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1245891019 | Tanya Latrell Lesane | Counselor | 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 | 2019-06-24 |
| 1740844224 | Allison Tracy Bertoni | Student in an Organized Health Care Education/Training Program | 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-30 |
| 1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
| 1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
| 1982182101 | Won Kyung Yang | Dentist | 11582 C St., Jblm, WA 98433 | 2018-07-31 |
| 1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
| Find all providers in zip 98433 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447200704 | Bruce Willham | Pediatrics | 315 M L King Jr Way, Attn: Pediatrix Medical Group, Tacoma, WA 98405-4234 | 2006-05-10 |
| 1417918160 | Delores Mary Gries | Pediatrics | 9040 Read St, Madigan Army Medical Center, Attn: Mchj-qcr, Tacoma, WA 98431-0001 | 2006-03-31 |
| 1255605374 | Jeanne Alexandra Krick | Pediatrics | 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2012-03-07 |
| 1285899849 | Christina Marieke Long | Pediatrics | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-23 |
| 1043321276 | Glenn Davis Jordan | Pediatrics | 315 Martin Luther King Jr Way, Ms Z0 Ntl, Tacoma, WA 98405-4234 | 2006-08-31 |
| 1760444897 | Ray Y Sato | Pediatrics | 315 Martin Luther King Jr Way, Ms Z0-ntl, Tacoma, WA 98405-4234 | 2006-04-04 |
| 1528031242 | Timothy Francis Haley | Pediatrics | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2006-02-13 |
| 1578559217 | John Sterling Golden | Pediatrics | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417118399 | Claudia Nadernejad | Pediatrics | 35 W 8th Ave Ste 442, Spokane, WA 99204-2361 | 2008-06-23 |
| 1316151376 | Jeff Yuan | Pediatrics | 6601 Cascade Ave, Gig Harbor, WA 98335-1971 | 2007-05-09 |
| 1356453708 | Ashraf Adib Morkos | Pediatrics | 17209 Se 57th Pl, Bellevue, WA 98006-5952 | 2006-08-31 |
| 1730295569 | Gary A Twiggs | Pediatrics | 3626 Ne 45th Street, Suite 300, Seattle, WA 98105-5643 | 2006-08-22 |
| 1013932680 | Dennis Mayock | Pediatrics | Pediatrics, Box 356320, University of Washington, Seattle, WA 98195-6320 | 2006-07-13 |
| 1942262027 | Ron C Ilg | Pediatrics | 35 W 8th Ave, Suite 440, Spokane, WA 99204-2361 | 2006-04-05 |
| 1154766699 | Min Ji Hwang | Pediatrics | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2013-05-09 |
| 1881960268 | Mihai Puia-dumitrescu | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2012-03-29 |
| 1780972638 | Cherrie Rose Tan Dy | Pediatrics | 400 S 43rd St, Renton, WA 98055-5714 | 2011-07-13 |
| 1548556376 | Claudia Weinheimer | Pediatrics | 35 W 8th Ave Ste 442, Spokane, WA 99204-2361 | 2011-06-20 |
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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.