Active NPI
Rebecca Perron
- Other Technician
- Port Angeles, WA
National Provider Identifier
1083861413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1 Ediz Hook
Port Angeles, WA 98362-2201 - Phone
- (360) 417-5894
- NPI assigned
- Aug 27, 2008
- Last updated
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1 Ediz Hook
Port Angeles, WA 98362-2201
Mailing address
1 Ediz Hook
Port Angeles, WA 98362-2201
Phone (360) 417-5894
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1083861413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EDIZ HOOK",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983622201",
"telephone_number": "360-417-5894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EDIZ HOOK",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983622201",
"telephone_number": "360-417-5894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRON",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.