Individual provider Active NPI

Rebecca Ann Sleeper, RN FNP

  • Family Nurse Practitioner
  • Dewitt, NY
National Provider Identifier
1053489641
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330812 Issued in NY
Practice address
3906 East Genesee Street
Dewitt, NY 13214-1934
Phone
(315) 251-1093
Fax
(315) 251-1571
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330812 NY Primary

Addresses

Primary practice location

3906 East Genesee Street
Dewitt, NY 13214-1934

Mailing address

3906 East Genesee Street
Dewitt, NY 13214-1934
Phone (315) 251-1093

Other identifiers 2

IdentifierTypeStateIssuer
324031OtherMVP HEALTHCARE
000921345001OtherHEALTHNOW

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
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F330812NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1053489641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 EAST GENESEE STREET",
            "city": "DEWITT",
            "state": "NY",
            "postal_code": "132141934",
            "telephone_number": "315-251-1093",
            "fax_number": "315-251-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 EAST GENESEE STREET",
            "city": "DEWITT",
            "state": "NY",
            "postal_code": "132141934",
            "telephone_number": "315-251-1093",
            "fax_number": "315-251-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEEPER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "RN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "324031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000921345001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.