Rebekah Autumn Fisher, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

115 E 1St St
Suite 2W
Hinsdale, IL 60521-4280

Phone

(630) 734-0580

Fax

(630) 734-0581

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Rebekah Autumn Cadman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Cornerstone Family Healthcare

  • Family Medicine Physician
  • Lisle, IL
  • NPI 1982334843
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063483022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 LEXINGTON AVE APT A",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600881048",
            "telephone_number": "847-689-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 1ST ST",
            "address_2": "SUITE 2W",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214280",
            "telephone_number": "630-734-0580",
            "fax_number": "630-734-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "REBEKAH",
        "middle_name": "AUTUMN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERT (NATIONAL)",
            "identifier": "1067215",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "CADMAN",
            "middle_name": "AUTUMN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Coe Finley III, M.D.
• Firefly Counseling, LLC
• William G. Fischer Jr., M.D.
• Micaela Kim Fisher, MS, CCC-SLP
• Paul Fisher, D.C
• Collins Fitzpatrick, MD
• Jessica Leigh Flakus, MOT, OTR/L
• Kylie Flood
• Sue Ellen Foley
• Stuart Folkerts

• Physician Assistant in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.