Individual provider Active NPI

Rebecca Carson Rausa, PA-C

  • Physician Assistant
  • Camp Lejeune, NC
National Provider Identifier
1326277930
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone
(910) 450-4357
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Mailing address

Attn: Force Medical Code 04
2000 Trident Way, BLDG. 624
San Diego, CA 92155-5599

Other practice location 1

2005 Knight LaneNavy Medicine Support Command
Attn: Medical Staff Services Bldg. H
Jacksonville, FL 32212-0140
Phone (904) 542-7200

Other practice location 2

SEAL Team TWO
1840 Gator Blvd, Bldg 3841
JEB LCRK-Fort Story, VA 23459
Phone (757) 763-3308

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1326277930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN: FORCE MEDICAL CODE 04",
            "address_2": "2000 TRIDENT WAY, BLDG. 624",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "910-450-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Knight LaneNavy Medicine Support Command",
            "address_2": "Attn: Medical Staff Services Bldg. H",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322120140",
            "country_code": "US",
            "telephone_number": "904-542-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "SEAL Team TWO",
            "address_2": "1840 Gator Blvd, Bldg 3841",
            "address_purpose": "LOCATION",
            "city": "JEB LCRK-Fort Story",
            "state": "VA",
            "postal_code": "23459",
            "country_code": "US",
            "telephone_number": "757-763-3308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUSA",
        "first_name": "REBECCA",
        "middle_name": "CARSON",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.