Active NPI
Rebecca Nelson, FNP
- Family Nurse Practitioner
- The Dalles, OR
National Provider Identifier
1366593311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 086006671N1-FNP-PP
- Practice address
- Northern Oregon Corrections
201 Webber Rd
The Dalles, OR 97058 - Phone
- (541) 506-2906
- Fax
- (541) 506-2907
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 086006671N1-FNP-PP | OR | Primary |
Addresses
Primary practice location
Northern Oregon Corrections
201 Webber Rd
The Dalles, OR 97058
Mailing address
1193 22ND St
Hood River, OR 97031-9669
Phone (541) 386-7689
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086006671N1-FNP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klickitat County Public Hospital District No 1 | Current | Accepting new patients |
Locations
317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017
310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151
Interoperability endpoints
- rnelson@kvhealthfm.gwaydirect.com
Organizations & group practices 1
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.
-
dba KVH Family Medicine
- Clinic/Center
- Goldendale, WA
- NPI 1467530915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1366593311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1193 22ND ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970319669",
"telephone_number": "541-386-7689",
"fax_number": "541-506-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHERN OREGON CORRECTIONS",
"address_2": "201 WEBBER RD",
"city": "THE DALLES",
"state": "OR",
"postal_code": "97058",
"telephone_number": "541-506-2906",
"fax_number": "541-506-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "REBECCA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "086006671N1-FNP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.