Active NPI
Rebecca Nevinger
- Specialist
- Tumwater, WA
National Provider Identifier
1124435383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00025372
- Practice address
- 4833 Tumwater Valley Dr SE
Tumwater, WA 98501-4583 - Phone
- (360) 352-3400
- NPI assigned
- Jul 18, 2014
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00025372 | WA | Primary |
Addresses
Primary practice location
4833 Tumwater Valley Dr SE
Tumwater, WA 98501-4583
Mailing address
4833 Tumwater Valley Dr SE
Tumwater, WA 98501-4583
Other names 1
- Rebecca Leathers
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00025372 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The V Spa | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Tumwater, WA
- NPI 1992121560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1124435383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4833 TUMWATER VALLEY DR SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985014583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4833 TUMWATER VALLEY DR SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985014583",
"telephone_number": "360-352-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVINGER",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-18",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00025372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "LEATHERS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.