Rebekka Kelly David

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

E58330 Issued in CT

Practice address

18 Magnolia LN
East Berlin, CT 06023-1008

Phone

(860) 637-9856

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Careconnectmd Connecticut PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Stamford, CT
  • NPI 1467187336
  Medicare reassignment NPD
• HDC Care Solutions, LLC

  • Nurse Practitioner
  • Framingham, MA
  • NPI 1033861349

  CT

  Medicare reassignment NPD
• Inhouse Care LLC

  • Primary Care Clinic/Center
  • Wolcott, CT
  • NPI 1598138943
  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1407426661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAGNOLIA LN",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231008",
            "telephone_number": "860-937-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAGNOLIA LN",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231008",
            "telephone_number": "860-637-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "REBEKKA",
        "middle_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "CT",
            "license": "E58330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chartwell Southern New England, LLC (Option Care)
• Kendell Lamonte Coker, PH.D., J.D.
• Concierge by NRC
• Counseling Center for Women and Children, LLC
• Anthony Cyrulik Jr., COTA
• Andrew Degling, LPC
• Tracey Donovan
• Dr Michael Ijomah DC LLC
• Elder Alarms
• Evernorth Care Providers - Delaware PA

• Gerontology Registered Nurse in East Berlin, CT
• Providers in East Berlin, CT by specialty
• Gerontology Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.