Individual provider Active NPI

Rebecca S Rasmusson, NP

  • Family Nurse Practitioner
  • Beaver, UT
National Provider Identifier
1083755342
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205177-4405 Issued in UT
Practice address
1059 N 100 W
Beaver, UT 84713-1690
Phone
(435) 438-7280
Fax
(435) 438-7210
NPI assigned
Feb 9, 2007
Last updated
Nov 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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 205177-4405 UT Primary

Addresses

Primary practice location

1059 N 100 W
Beaver, UT 84713-1690

Mailing address

1059 N 100 W
PO Box 1690
Beaver, UT 84713-1690
Phone (435) 438-7280

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1083755342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 N 100 W",
            "address_2": "PO BOX 1690",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847131690",
            "telephone_number": "435-438-7280",
            "fax_number": "435-438-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 N 100 W",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847131690",
            "telephone_number": "435-438-7280",
            "fax_number": "435-438-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSON",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "205177-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.