Active NPI
Rebecca Lester
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1124101399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 3535 E Mayo Blvd
Phoenix, AZ 85050-4880 - Phone
- (480) 419-4400
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
3535 E Mayo Blvd
Phoenix, AZ 85050-4880
Mailing address
40448 N Spur Cross Rd
Cave Creek, AZ 85331-8123
Phone (480) 419-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620527 | Medicaid | AZ |
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": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1124101399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40448 N SPUR CROSS RD",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853318123",
"telephone_number": "480-419-4400",
"fax_number": "480-419-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504880",
"telephone_number": "480-419-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTER",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620527",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.