Rebecca Lynn Faulds, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6117-33 Issued in WI

Practice address

3364A S New York Ave
Milwaukee, WI 53207-3730

Phone

(414) 852-9499

NPI assigned

Nov 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Lynn Rueda Other name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1306243894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364A S NEW YORK AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073730",
            "telephone_number": "414-852-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364A S NEW YORK AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073730",
            "telephone_number": "414-852-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULDS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "138905-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6117-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "RUEDA",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Suzanne Louise Fastner
• Esther Fateye
• Aquila Fathima, MD
• Khadija Fatima, MD
• Heather L Faude, PA-C
• Betty Faulkner
• Bruce T Faure, MD
• David Alexander Faust, PT
• Katherine A Faust, FNP
• Kelly Amber Faust, PSY.D., LPC

• Family Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.