Healthcare Provider Details

I. General information

NPI: 1649192311
Provider Name (Legal Business Name): BECKY NEEDHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2883 COUNTY ROAD 301
PARACHUTE CO
81635-9117
US

IV. Provider business mailing address

2883 COUNTY ROAD 301
PARACHUTE CO
81635-9117
US

V. Phone/Fax

Practice location:
  • Phone: 970-319-4087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN.0186377
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: