Individual provider Active NPI

Rachel Tyree

  • Behavior Analyst
  • Richmond, VA
National Provider Identifier
1003437864
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001705 Issued in VA
Practice address
2601 Willard Rd Ste 105
Richmond, VA 23294-3638
Phone
(804) 549-2376
Fax
(804) 716-7186
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133001705 VA Primary

Addresses

Primary practice location

2601 Willard Rd Ste 105
Richmond, VA 23294-3638

Mailing address

1640 E Parham Rd
Richmond, VA 23228-2368
Phone (040) 285-9838

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
0133001705VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Day Treatment LLC. CurrentSince Mar 24, 2024 Accepting new patients
Dominion Outpatient Services, LLC PastSince Dec 1, 2023 Accepting new patients

Locations

1640 E Parham Rd
Richmond, VA 23228
Phone (804) 272-2000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1003437864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282368",
            "telephone_number": "040-285-9838",
            "fax_number": "804-285-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 WILLARD RD STE 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943638",
            "telephone_number": "804-549-2376",
            "fax_number": "804-716-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYREE",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.