Individual provider Active NPI

McKenzie Rupp

  • Speech-Language Pathologist
  • Winnemucca, NV
National Provider Identifier
1285152538
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2172 Issued in NV
Practice address
5250 Western Way
Winnemucca, NV 89445-6103
Phone
(208) 995-3718
NPI assigned
Sep 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP-2172 NV Primary

Addresses

Primary practice location

5250 Western Way
Winnemucca, NV 89445-6103

Mailing address

5250 Western Way
Winnemucca, NV 89445-6103
Phone (208) 995-3718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200827003129 NV Practitioner - Qualified Speech Language Pathologist 8325465958 Reassigns benefits to 4 organizations
I20260616002005 SC Practitioner - Qualified Speech Language Pathologist 8325465958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Services B and Ris LLCGroup PAC ID 8820322555, 6 clinicians

Practice addresses (Care Compare)

135 W 2ND St
Winnemucca, NV 89445-3406
Phone (775) 625-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Services B and Ris LLC Single Specialty CurrentSince Jan 25, 2021 Accepting new patients
Humboldt General Hospital CurrentSince May 20, 2020 Accepting new patients
Humboldt General Hospital Single Specialty Current Accepting new patients
Rehab & Industrial Services, LLC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Humboldt General Hospital Single Specialty CurrentSince May 20, 2020 Accepting new patients

Locations

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

135 W 2nd St
Winnemucca, NV 89445
Phone (775) 623-4813

Organizations & group practices 6

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285152538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 WESTERN WAY",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894456103",
            "telephone_number": "208-995-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 WESTERN WAY",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894456103",
            "telephone_number": "208-995-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnemucca, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.