NPIMap

Organization Active NPI

Rebecca Nice DO LLC

  • Family Medicine Physician
  • Telford, PA
National Provider Identifier
1356672349
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013478 Issued in PA
Legal business name
REBECCA NICE DO LLC
Practice address
6 Carousel Dr
Telford, PA 18969-2009
Phone
(215) 837-0166
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Rebecca Nice, DO
Title
President
Phone
(215) 837-0166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS013478 PA Primary

Addresses

Primary practice location

6 Carousel Dr
Telford, PA 18969-2009

Mailing address

6 Carousel Dr
Telford, PA 18969-2009
Phone (215) 837-0166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1356672349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CAROUSEL DR",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692009",
            "telephone_number": "215-837-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CAROUSEL DR",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692009",
            "telephone_number": "215-837-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA NICE DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "NICE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-837-0166",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.