Individual provider Active NPI

Rebecca Erin Rapoport, NP

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1215215801
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F382227-1 Issued in NY
Practice address
536 W 111TH St Apt 63
Apartment 63
New York, NY 10025-1957
Phone
(401) 481-2103
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 22690 CA
Pediatric Nurse Practitioner 363LP0200X F382227-1 NY Primary

Addresses

Primary practice location

536 W 111TH St Apt 63
Apartment 63
New York, NY 10025-1957

Mailing address

1386 Gilman St
Berkeley, CA 94706-2455
Phone (401) 481-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160328000581 CA Practitioner - Nurse Practitioner 0446557060 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22690CAMDSpeech-Language Pathologist
F382227-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jan 6, 2020 Accepting new patients
University of California San Francisco CurrentSince Feb 8, 2016 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Dept of Surgery CurrentSince Jan 6, 2020 Accepting new patients
UCSF Pediatrics Associates CurrentSince Feb 8, 2016 Accepting new patients
University of California San Francisco CurrentSince Feb 8, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 6, 2020 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

533 Parnassus Ave
#U505
San Francisco, CA 94143

550 16th St
San Francisco, CA 94143
Phone (415) 353-1238

3333 California St
Ste 10
San Francisco, CA 94118
Phone (415) 476-4980

550 16th St
#5668
San Francisco, CA 94158

550 16th St
#734
San Francisco, CA 94158

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

500 Doyle Park Dr
Ste 104
Santa Rosa, CA 95405
Phone (707) 524-8297

Interoperability endpoints

  • Direct secure messaging: rrapoport68565@direct-ucsfmedicalcenter.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1215215801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 GILMAN ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947062455",
            "telephone_number": "401-481-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 W 111TH ST APT 63",
            "address_2": "APARTMENT 63",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251957",
            "telephone_number": "401-481-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOPORT",
        "first_name": "REBECCA",
        "middle_name": "ERIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "22690",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382227-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.