Individual provider Active NPI

Rebecca J Wingster, MHA, RN, CCM

  • Case Management Registered Nurse
  • Draper, UT
National Provider Identifier
1063249688
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
220502-3102 Issued in UT
Practice address
493 E Elizabeth Day CV
Draper, UT 84020-5189
Phone
(801) 891-6470
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 807986 CA
Case Management Registered Nurse 163WC0400X 220502-3102 UT Primary

Addresses

Primary practice location

493 E Elizabeth Day CV
Draper, UT 84020-5189

Mailing address

493 E Elizabeth Day CV
Draper, UT 84020-5189
Phone (801) 891-6470

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
807986CAMDCase Management Registered Nurse
220502-3102UTMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1063249688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 E ELIZABETH DAY CV",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205189",
            "telephone_number": "801-891-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 E ELIZABETH DAY CV",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205189",
            "telephone_number": "801-891-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGSTER",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "MHA, RN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "807986",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "UT",
            "license": "220502-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.