Active NPI
Rebecka Sue Harper, APNP
- Family Nurse Practitioner
- Elkridge, MD
National Provider Identifier
1255353736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1963-033
- Practice address
- 6514 Meadow Ridge Rd
Elkridge, MD 21075-6115 - Phone
- (715) 530-0342
- Fax
- (888) 584-4944
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1963-033 | WI | Primary |
Addresses
Primary practice location
6514 Meadow Ridge Rd
Elkridge, MD 21075-6115
Mailing address
N46777 County Road V
Eleva, WI 54738-8927
Phone (715) 287-4482
Other names 1
- Rebecka Sue Smith
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1963-033 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1255353736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N46777 COUNTY ROAD V",
"city": "ELEVA",
"state": "WI",
"postal_code": "547388927",
"telephone_number": "715-287-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6514 MEADOW RIDGE RD",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756115",
"telephone_number": "715-530-0342",
"fax_number": "888-584-4944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "REBECKA",
"middle_name": "SUE",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1963-033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECKA",
"last_name": "SMITH",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.