Individual provider Active NPI

Rebecca Lynn Sawallich, FNP

  • Family Nurse Practitioner
  • Mableton, GA
National Provider Identifier
1326007527
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN194949-NP Issued in GA
Practice address
5399 Windsor Green CT SE
Mableton, GA 30126-5691
Phone
(504) 490-3475
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN194949-NP GA Primary

Addresses

Primary practice location

5399 Windsor Green CT SE
Mableton, GA 30126-5691

Mailing address

5399 Windsor Green CT SE
Mableton, GA 30126-5691
Phone (504) 490-3475

Other names 1

  • Rebecca Lynn Sterzingen Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211118001114 WI Practitioner - Nurse Practitioner 6406864776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN194949-NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Gastroenterology Specialists of Oregon PC Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1326007527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 WINDSOR GREEN CT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265691",
            "telephone_number": "504-490-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 WINDSOR GREEN CT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265691",
            "telephone_number": "504-490-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWALLICH",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN194949-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "STERZINGEN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mableton, GA

Sources for this page

Verify at the official NPI Registry.