Individual provider Active NPI

Rebecca Peoples, MSW

  • Social Worker
  • Winnemucca, NV
National Provider Identifier
1225265549
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5434-S Issued in NV
Practice address
3140 Traders Way
Winnemucca, NV 89445-3677
Phone
(775) 623-6580
Fax
(775) 623-6584
NPI assigned
Jun 12, 2009
Last updated
Jun 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5434-S NV Primary

Addresses

Primary practice location

3140 Traders Way
Winnemucca, NV 89445-3677

Mailing address

4126 Technology Way
Suite 102
Carson City, NV 89706-2066
Phone (775) 687-7573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000743 NV Practitioner - Clinical Social Worker 5991976342 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5434-SNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Dec 28, 2015 Accepting new patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Dec 28, 2015 Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

3140 Traders Way
Winnemucca, NV 89445
Phone (775) 623-6580

475 W Haskell St
Winnemucca, NV 89445
Phone (775) 623-6580

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1225265549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 TECHNOLOGY WAY",
            "address_2": "SUITE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062066",
            "telephone_number": "775-687-7573",
            "fax_number": "775-687-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 TRADERS WAY",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453677",
            "telephone_number": "775-623-6580",
            "fax_number": "775-623-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "REBECCA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "5434-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnemucca, NV

Sources for this page

Verify at the official NPI Registry.