Rebecca Clair-Jewell McConeghy

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

198445-30 Issued in WI

Practice address

14325 Hyland Dr
Brookfield, WI 53005-2313

Phone

(414) 218-2040

NPI assigned

Aug 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Rebecca Jewell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: rjewellrn166612@direct.froedtert.com

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1003535162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14325 HYLAND DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052313",
            "telephone_number": "414-218-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14325 HYLAND DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052313",
            "telephone_number": "414-218-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONEGHY",
        "first_name": "REBECCA",
        "middle_name": "CLAIR-JEWELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "WI",
            "license": "198445-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "JEWELL",
            "prefix": "MS.",
            "credential": "AGCNS-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patrick James McCann, D.C.
• Steven Bruce McCann, MD
• Thomas J McCarthy, DDS
• Jennifer McClain, RN
• Loni Marie McClellan, DC
• Erin Leigh McCormack, SLP
• Lenaya McCormick, SLP
• Kimberly Rose McCullough, RN
• Steffen McCullough, DC
• Jamila McDaniel

• All providers in Brookfield, WI
• Clinical Nurse Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.