Individual provider Active NPI

Rebecca Ann Christiansen, REGISTERED NURSE

  • Home Health Registered Nurse
  • Hoquiam, WA
National Provider Identifier
1245061928
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
00121886 Issued in WA
Practice address
201 7TH St
Hoquiam, WA 98550-2506
Phone
(360) 532-5454
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 00002255 WA
Home Health Registered Nurse 163WH0200X 00121886 WA Primary

Addresses

Primary practice location

201 7TH St
Hoquiam, WA 98550-2506

Mailing address

3812 Sandridge Rd
Ilwaco, WA 98624-9061
Phone (360) 388-6902

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

LicenseStateTypeSpecialty
00121886WAMDHome Health Registered Nurse
00002255WAMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Harbors Home Health & Hospice PastSince Aug 18, 2024 Accepting new patients
Harbors Home Health & Hospice PastSince Aug 18, 2024 Accepting new patients

Organizations & group practices 2

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1245061928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 SANDRIDGE RD",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986249061",
            "telephone_number": "360-388-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 7TH ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502506",
            "telephone_number": "360-532-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "WA",
            "license": "00002255",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "00121886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoquiam, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.