Active NPI
Rebekah Pierson, ARNP
- Nurse Practitioner
- Pasco, WA
National Provider Identifier
1043292956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30003677
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298897 | Medicaid | OR | |
| 7901424 | Medicaid | WA | |
| 9635319 | Medicaid | WA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181106003119 | WA | Order and Referring Only - Nurse Practitioner | 0547164725 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Advanced Practice Midwife
- Kennewick, WA
- NPI 1275809550
-
- Family Medicine Physician
- Pasco, WA
- NPI 1902939945
-
dba Lourdes Urology East
- Urology Physician
- Pasco, WA
- NPI 1649785569
-
- General Practice Physician
- Richland, WA
- NPI 1225163926
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1659995504
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225145105
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
- Alexis Phipps, RDH
- Tyler Edward Pickard
- Corey Scott Pickett, DO
- Darcy Lynn Pierce
- Randall Ray Pierce, PA-C
- Chona Pizan, PHARMACIST
- Elizabeth Placido, LICSW
- Planned Parenthood of Greater Washington & North Idaho (PPGWNI Pasco Health Center)
- Planned Parenthood of Greater Washington and North Idaho (Ppgwni)
- Jerica Lynn Poston, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.