Individual provider Active NPI

Rebekah Pierson, ARNP

  • Nurse Practitioner
  • Pasco, WA
National Provider Identifier
1043292956
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30003677 Issued in WA
Practice address
531 W Park St Ste 2
Pasco, WA 99301-5270
Phone
(509) 547-4411
Fax
(509) 547-3291
NPI assigned
Nov 16, 2005
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30003677 WA Primary

Addresses

Primary practice location

531 W Park St Ste 2
Pasco, WA 99301-5270

Mailing address

PO Box 6762
Kennewick, WA 99336-0640
Phone (509) 460-4823

Other identifiers 3

IdentifierTypeStateIssuer
298897MedicaidOR
7901424MedicaidWA
9635319MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106003119 WA Order and Referring Only - Nurse Practitioner 0547164725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Community Health Past Accepting new patients
R & B Fleck Enterprises, LLC Past Accepting new patients
Our Lady of Lourdes Health Center Past Accepting new patients
Tri Cities Community Health Past Accepting new patients
Columbia River Medical Center PLLC PastSince Apr 17, 2014 Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1043292956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6762",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360640",
            "telephone_number": "509-460-4823",
            "fax_number": "509-460-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W PARK ST STE 2",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015270",
            "telephone_number": "509-547-4411",
            "fax_number": "509-547-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "REBEKAH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298897",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7901424",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9635319",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.