Active NPI
Rebecca Jean Wierks, CPNP
- Pediatric Nurse Practitioner
- Holland, MI
National Provider Identifier
1396900155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4704282110
- Practice address
- 602 Michigan Avenue
Boven Birth Center
Holland, MI 49423 - Phone
- (616) 393-0166
- Fax
- (616) 393-8821
- NPI assigned
- Jul 22, 2008
- Last updated
- Aug 10, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4704282110 | MI | Primary |
Addresses
Primary practice location
602 Michigan Avenue
Boven Birth Center
Holland, MI 49423
Mailing address
926 S. Washington Ave
Building C
Holland, MI 49423
Phone (616) 393-0166
Other names 1
- Rebecca Jean Pfeiffer
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
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704282110 | MI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Pediatric Hospitalist, PC | Past | Accepting new patients | |
| Holland Community Hospital | Past | Accepting new patients | |
| Holland Pediatric Associates, PLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba d/b/a Holland Hospital
- Hospitalist Physician
- Holland, MI
- NPI 1497090617
-
- Specialist
- Holland, MI
- NPI 1912970922
-
- Hospitalist Physician
- Holland, MI
- NPI 1184814824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1396900155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 S. WASHINGTON AVE",
"address_2": "BUILDING C",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49423",
"telephone_number": "616-393-0166",
"fax_number": "616-393-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 MICHIGAN AVENUE",
"address_2": "BOVEN BIRTH CENTER",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49423",
"telephone_number": "616-393-0166",
"fax_number": "616-393-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERKS",
"first_name": "REBECCA",
"middle_name": "JEAN",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704282110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "PFEIFFER",
"middle_name": "JEAN",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.