Individual provider Active NPI

Gretchen S Beck, M.D.

  • Allergy Physician
  • Charlottesville, VA
National Provider Identifier
1881637353
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0101225810 Issued in VA
Practice address
941 Glenwood Station Lane
Suite #103
Charlottesville, VA 22901-1697
Phone
(434) 977-6673
Fax
(434) 220-3197
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 0101225810 VA Primary

Addresses

Primary practice location

941 Glenwood Station Lane
Suite #103
Charlottesville, VA 22901-1697

Mailing address

941 Glenwood Station Lane
Suite #103
Charlottesville, VA 22901-1697
Phone (434) 977-6673

Other identifiers 2

IdentifierTypeStateIssuer
147589OtherVASOUTHERN HEALTH ID
323663OtherVAANTHEM/TRIGON/BCBS ID

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818001179 VA Practitioner - Allergy/Immunology 6709984594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101225810VAMDAllergy Physician

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1881637353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 GLENWOOD STATION LANE",
            "address_2": "SUITE #103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011697",
            "telephone_number": "434-977-6673",
            "fax_number": "434-220-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 GLENWOOD STATION LANE",
            "address_2": "SUITE #103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011697",
            "telephone_number": "434-977-6673",
            "fax_number": "434-220-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "GRETCHEN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101225810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH ID",
            "identifier": "147589",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/TRIGON/BCBS ID",
            "identifier": "323663",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.