Individual provider Active NPI

Rebecca Zack Callahan, MSN, WHCNP

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1073813960
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420999-1 Issued in NY
Practice address
25 E 86TH St
8E
New York, NY 10028-0553
Phone
(609) 468-3670
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420999-1 NY Primary

Addresses

Primary practice location

25 E 86TH St
8E
New York, NY 10028-0553

Mailing address

25 E 86TH St
8E
New York, NY 10028-0553
Phone (609) 468-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219000510 NJ Order and Referring Only - Nurse Practitioner 6002336245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F420999-1NYMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1073813960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E 86TH ST",
            "address_2": "8E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280553",
            "telephone_number": "609-468-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E 86TH ST",
            "address_2": "8E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280553",
            "telephone_number": "609-468-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "REBECCA",
        "middle_name": "ZACK",
        "name_prefix": "Mrs.",
        "credential": "MSN, WHCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420999-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.