Active NPI
Rebekah J. Wilson, R.N.
- Registered Nurse
- Yelm, WA
National Provider Identifier
1336583319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00073356
- Practice address
- 405 Killion CT NW
Apt. 9
Yelm, WA 98597-9411 - Phone
- (360) 458-1207
- NPI assigned
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00073356 | WA | Primary |
Addresses
Primary practice location
405 Killion CT NW
Apt. 9
Yelm, WA 98597-9411
Mailing address
1811 W Skokomish Valley Rd
Shelton, WA 98584-7400
Phone (360) 426-4042
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00073356 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1336583319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 W SKOKOMISH VALLEY RD",
"city": "SHELTON",
"state": "WA",
"postal_code": "985847400",
"telephone_number": "360-426-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 KILLION CT NW",
"address_2": "APT. 9",
"city": "YELM",
"state": "WA",
"postal_code": "985979411",
"telephone_number": "360-458-1207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "REBEKAH",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00073356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yelm, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.