Individual provider Active NPI

Rebecca Kemunto Ongera, NURSE

  • Registered Nurse
  • Casa Grande, AZ
National Provider Identifier
1023733268
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN280719 Issued in AZ
Practice address
2567 E San Felipe TRL
Casa Grande, AZ 85194-5012
Phone
(419) 378-1339
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN280719 AZ Primary

Addresses

Primary practice location

2567 E San Felipe TRL
Casa Grande, AZ 85194-5012

Mailing address

1398 E Mayfield Dr
San Tan Valley, AZ 85143-3215
Phone (419) 378-1339

Other identifiers 1

IdentifierTypeStateIssuer
RN280719MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN280719AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Basera Home Care LLC CurrentSince Dec 10, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1023733268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 E MAYFIELD DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851433215",
            "telephone_number": "419-378-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 E SAN FELIPE TRL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851945012",
            "telephone_number": "419-378-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGERA",
        "first_name": "REBECCA",
        "middle_name": "KEMUNTO",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN280719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN280719",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.