Rebecca Lafavor, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R28953 Issued in ND

Practice address

721 1St Ave S Ste a
Jamestown, ND 58401-4725

Phone

(701) 368-4380

Fax

(701) 540-6818

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medallus and Vacharothone LTDGroup PAC ID 3072871276, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afterhoursmedical.rebeccalafavor@154032.advancedmd-direct.com

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.

• Medallus & Vacharothone LTD

  • Family Medicine Physician
  • Jamestown, ND
  • NPI 1710496310
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1114695541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ARABIAN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038207",
            "telephone_number": "701-220-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 1ST AVE S STE A",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014725",
            "telephone_number": "701-368-4380",
            "fax_number": "701-540-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAVOR",
        "first_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R28953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Kuss, NP
• L & M Care Coordination Services, LLC
• Nichole Elaine Lackey
• Laduke Family Chiropractic, PC
• Debra D Laduke, DC
• Justin Lafferty, ATC
• Camden Lambert, MATRG, LAT, ATC
• Kaylee M Lang, MS,OTR/L
• Mitchell Jay Lang
• Teva Jo Lange, LCAC

• Family Nurse Practitioner in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.