Rebecca E Ewald, MSN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0017137762 Issued in VA

Practice address

590 Radio Hill Rd
Suite 1 Medical Arts Building
Marion, VA 24354-4224

Phone

(276) 783-8183

Fax

(276) 782-9267

NPI assigned

Aug 29, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing

State licenses

Interoperability endpoints

• Direct secure messaging: rebeccaewald@ropa.ssdirect.aprima.com

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1255324919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 RADIO HILL RD",
            "address_2": "SUITE 1 MEDICAL ARTS BUILDING",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544224",
            "telephone_number": "276-783-8183",
            "fax_number": "276-782-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 RADIO HILL RD",
            "address_2": "SUITE 1 MEDICAL ARTS BUILDING",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544224",
            "telephone_number": "276-783-8183",
            "fax_number": "276-782-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWALD",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0017137762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LIS.",
            "identifier": "0017137762",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellis Home Oxygen & Medical
• Pamela White Ellis, WHNP-BC
• Christopher Ryan Elswick, LPC
• Envision Professional Group, PLLC
• Rachel L Evans, DC
• Eye Physicians Optical Center
• Family Presevation Services, Inc.
• Justin Fantazier
• Debra S Farmer, LCSW
• Eric Shane Farris

• Pediatric Nurse Practitioner in Marion, VA
• Providers in Marion, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.