Individual provider Active NPI

Rebecca Nelson, FNP

  • Family Nurse Practitioner
  • The Dalles, OR
National Provider Identifier
1366593311
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
086006671N1-FNP-PP Issued in OR
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

Updated by the provider on Mar 7, 2023

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 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

LicenseStateTypeSpecialty
086006671N1-FNP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.