Beach Eclinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BEACH ECLINIC LLC

Practice address

413 22ND St Apt a
Virginia Beach, VA 23451-3389

Phone

(757) 828-6188

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Erika Cook, FNP-BCNPI 1457860157

Title

Owner/Provider

Phone

(757) 828-6188

Specialties & licenses 2

Addresses

Other names 1

• Beach eClnic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erika Cook, FNP

  • Family Nurse Practitioner
  • Norfolk, VA
  • NPI 1457860157
  NPD Authorized official

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1992459697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIRGINIA BEACH BLVD # 436",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524419",
            "telephone_number": "757-828-6188",
            "fax_number": "888-588-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 22ND ST APT A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234513389",
            "telephone_number": "757-828-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH ECLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "757-828-6188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach eClnic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Be the Change Community Services
• Be the Change Therapeutic Services LLC
• Beach Behavioral ABA,LLC
• Beach Counseling Center LLC
• Beach Counseling, LLC
• Beach Eye Care, Inc.
• Beach Family Medicine, Inc.
• Beach Health Clinic,Inc.
• Beach Hearing
• Beach Kids Pediatrics PLLC

• Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.