Individual provider Active NPI

Rebecca Mulry Straubel, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Willow Grove, PA
National Provider Identifier
1306009618
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
SP002311G Issued in PA
Practice address
2701 Blair Mill Rd
Northwood BLDG Suite C
Willow Grove, PA 19090-1041
Phone
(215) 443-0660
Fax
(215) 443-8422
NPI assigned
Jul 7, 2008
Last updated
Apr 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP002311G PA Primary

Addresses

Primary practice location

2701 Blair Mill Rd
Northwood BLDG Suite C
Willow Grove, PA 19090-1041

Mailing address

2729 Blair Mill Rd
Northwood BLDG Suite C
Willow Grove, PA 19090-1042
Phone (215) 443-0660

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP002311GPAMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1306009618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 BLAIR MILL RD",
            "address_2": "NORTHWOOD BLDG SUITE C",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901042",
            "telephone_number": "215-443-0660",
            "fax_number": "215-443-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 BLAIR MILL RD",
            "address_2": "NORTHWOOD BLDG SUITE C",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901041",
            "telephone_number": "215-443-0660",
            "fax_number": "215-443-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUBEL",
        "first_name": "REBECCA",
        "middle_name": "MULRY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP002311G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.