Rebecca Achilles

Key facts

NPI

1154788487

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

304225-1 (NY)

Practice address

4403 Clarks PT
Geneva, NY 14456-9588

Phone

(315) 789-8457

NPI assigned

Jan 18, 2016

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2016.

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1154788487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 CLARKS PT",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 CLARKS PT",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569588",
            "telephone_number": "315-789-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHILLES",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "304225-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

• Jose Acevedo-Ramos, M.D.
• Stephanie Marie Achilles, MD
• Stephen Achilles, MD
• Nicole Acquilano, LPN
• Acuhealth Acupuncture of the Finger Lakes
• C. Donald Addona, DDS

All providers in Geneva, NY · Registered Nurse in New York