Active NPI
Lisa H Beck, NP
- Physician Assistant
- Narrows, VA
National Provider Identifier
1790768943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-840666
- Practice address
- 2829 Virginia Ave
Narrows, VA 24124-2369 - Phone
- (540) 726-7900
- NPI assigned
- Nov 22, 2005
- Last updated
- May 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-840666 | VA | Primary |
Addresses
Primary practice location
2829 Virginia Ave
Narrows, VA 24124-2369
Mailing address
606 Owens St
Blacksburg, VA 24060-7223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010208181 | Medicaid | VA | |
| 010208165 | Medicaid | VA |
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)
- Enrolled
- 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 |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Multi-Specialty Clinic/Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1790768943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 OWENS ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 VIRGINIA AVE",
"city": "NARROWS",
"state": "VA",
"postal_code": "241242369",
"telephone_number": "540-726-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "LISA",
"middle_name": "H",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-840666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010208181",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010208165",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Narrows, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.