Individual provider Active NPI

Rebecca Miskew, NP

  • Adult Health Nurse Practitioner
  • Frisco, CO
National Provider Identifier
1063148674
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0997748-NP Issued in CO
Practice address
68 School Rd
Frisco, CO 80443
Phone
(970) 262-7400
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0997748-NP CO
Adult Health Nurse Practitioner 363LA2200X APN.0997748-NP CO Primary

Addresses

Primary practice location

68 School Rd
Frisco, CO 80443

Mailing address

PO Box 2587
Silverthorne, CO 80498-2587
Phone (302) 540-6958

Other practice location 1

82 King Ct
Silverthorne, CO 80498-5395
Phone (302) 540-6958

Other names 1

  • Rebecca Pulliam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0997748-NPCOMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1063148674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "804982587",
            "telephone_number": "302-540-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SCHOOL RD",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-262-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 King Ct",
            "address_purpose": "LOCATION",
            "city": "Silverthorne",
            "state": "CO",
            "postal_code": "804985395",
            "country_code": "US",
            "telephone_number": "302-540-6958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISKEW",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0997748-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0997748-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PULLIAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.