Rebecca Lynne Macisaac, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95004504 Issued in CA

Practice address

7000 East Ave
Livermore, CA 94550-9698

Phone

(925) 422-8920

NPI assigned

Nov 27, 2007

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Immediate Health Associates

  • Emergency Medicine Physician
  • Westerville, OH
  • NPI 1639123193
  NPD (past)
• Wedgewood Urgent Care, LTD

  • Family Medicine Physician
  • Powell, OH
  • NPI 1487601167
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1205018744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 EAST AVE, BUILDING 925",
            "address_2": "MS9112",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94550",
            "telephone_number": "925-294-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 EAST AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945509698",
            "telephone_number": "925-422-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACISAAC",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M.Sidhu DDS Inc
• M.Y. Acupuncture
• Elaine Mac, PHARMD
• Helen Maranan Macatangay, RN
• Jennifer Marie Macintire, OT, CHT
• Kate Mackinnon, PT
• Janice Macleod, R.D., C.D.E.
• Joy Macpherson
• Stephanie Madrid
• Karen Lynne Maguire, PHARMD

• Nurse Practitioner in Livermore, CA
• Providers in Livermore, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.