Individual provider Active NPI

Rebecca Alyn Nourse

  • Behavior Technician
  • Belleview, FL
National Provider Identifier
1285122978
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
10252 SE US Highway 441
Belleview, FL 34420-6819
Phone
(352) 233-7465
Fax
(352) 547-5787
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

10252 SE US Highway 441
Belleview, FL 34420-6819

Mailing address

5280 SE 135TH St
Summerfield, FL 34491-2442
Phone (352) 817-1131

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

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1285122978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 SE 135TH ST",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344912442",
            "telephone_number": "352-817-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10252 SE US HIGHWAY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344206819",
            "telephone_number": "352-233-7465",
            "fax_number": "352-547-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURSE",
        "first_name": "REBECCA",
        "middle_name": "ALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.