Lisa H Beck, NP
Individual provider Active NPI Physician Assistant · Narrows, VA
NPI 1790768943 · NPPES record last updated May 14, 2008
Key facts
- NPI
- 1790768943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110-840666 (VA)
- Practice address
- 2829 Virginia Ave
Narrows, VA 24124-2369 - Phone
- (540) 726-7900
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-840666 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-840666 | VA | Yes |
Addresses
Primary practice location
2829 Virginia Ave
Narrows, VA 24124-2369
Mailing address
606 Owens St
Blacksburg, VA 24060-7223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010208181 | Medicaid | VA | |
| 010208165 | Medicaid | VA |
Other providers in Narrows, VA
All providers in Narrows, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.