Healthcare Provider Details

I. General information

NPI: 1245140425
Provider Name (Legal Business Name): RACHEL BECK CCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 JAHNKE RD
RICHMOND VA
23225-4017
US

IV. Provider business mailing address

8283 SCOTT COMMONS DR
RICHMOND VA
23227-1122
US

V. Phone/Fax

Practice location:
  • Phone: 804-483-0000
  • Fax:
Mailing address:
  • Phone: 412-443-5013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code242T00000X
TaxonomyPerfusionist
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: