Individual provider Active NPI

Rebecca Ann T Young, FNP

  • Family Nurse Practitioner
  • New Kent, VA
National Provider Identifier
1528400918
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173140 Issued in VA
Practice address
9407 Cumberland Rd Ste a
New Kent, VA 23124-2029
Phone
(804) 996-2242
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024171360 VA
Family Nurse Practitioner 363LF0000X 0024173140 VA Primary

Addresses

Primary practice location

9407 Cumberland Rd Ste a
New Kent, VA 23124-2029

Mailing address

9407 Cumberland Rd Ste a
New Kent, VA 23124-2029
Phone (804) 996-2242

Other names 1

  • Rebecca Ann Tenney Beahm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320001245 VA Practitioner - Nurse Practitioner 1759512593 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024173140VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Mar 1, 2018 Accepting new patients
Riverside Physician Services, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
True North Health Navigation LLC CurrentSince Apr 22, 2020 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Page Memorial Hospital, Inc. Past Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

Organizations & group practices 9

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1528400918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9407 CUMBERLAND RD STE A",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "231242029",
            "telephone_number": "804-996-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9407 CUMBERLAND RD STE A",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "231242029",
            "telephone_number": "804-996-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "REBECCA ANN",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024171360",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA ANN",
            "last_name": "BEAHM",
            "middle_name": "TENNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Kent, VA

Sources for this page

Verify at the official NPI Registry.