Active NPI
Rebecca McGillivray
- Speech-Language Pathologist
- Bismarck, ND
National Provider Identifier
1013462183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1825
- Practice address
- 720 N 14TH St
Bismarck, ND 58501-4324 - Phone
- (701) 323-4400
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1825 | ND | Primary |
Addresses
Primary practice location
720 N 14TH St
Bismarck, ND 58501-4324
Mailing address
712 Hillcrest Dr SE
Mandan, ND 58554-8526
Phone (406) 465-7377
Other practice location 1
528 E Spokane Falls Blvd
Suite 14
Spokane, WA 99202-5081
Phone (509) 328-1582
Other practice location 2
528 E Spokane Falls Blvd
Suite 14
Spokane, WA 99202-5081
Phone (509) 328-1582
Other practice location 3
13607 E Sprague Ave
Spokane Valley, WA 99216-0809
Phone (509) 202-5260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1825 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1013462183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 HILLCREST DR SE",
"city": "MANDAN",
"state": "ND",
"postal_code": "585548526",
"telephone_number": "406-465-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N 14TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014324",
"telephone_number": "701-323-4400"
}
],
"practiceLocations": [
{
"address_1": "528 E Spokane Falls Blvd",
"address_2": "Suite 14",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992025081",
"country_code": "US",
"telephone_number": "509-328-1582",
"fax_number": "877-376-3335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "528 E Spokane Falls Blvd",
"address_2": "Suite 14",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992025081",
"country_code": "US",
"telephone_number": "509-328-1582",
"fax_number": "877-376-3335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13607 E Sprague Ave",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992160809",
"country_code": "US",
"telephone_number": "509-202-5260",
"fax_number": "877-376-3335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGILLIVRAY",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "1825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.