Kathleen Ann Beckman, RN, CNP
Nurse Practitioner, Gerontology in Edina, MN. Individual provider (NPI-1).
NPI number1457338337
StatusActive
Last updated in NPPESAug 5, 2011
Details
- NPI
- 1457338337
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Ann Beckman
- Credential
- RN, CNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2005
- Last updated
- Aug 5, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | R076489-2 | MN | Yes |
Practice location
3400 W 66th StSuite 290
Edina, MN 55435-2111
Phone 952-914-1745
Mailing address
1246 Prairie LnShakopee, MN 55379-3449
Phone 952-445-6471
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All 28 Gerontology Nurse Practitioner providers in Edina · All 4,659 providers in Edina
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