Active NPI
Rebecca L Ratcliff, MD
- Family Medicine Physician
- Marsing, ID
National Provider Identifier
1407899255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-9796
- Practice address
- 201 Main St.
Marsing, ID 83639 - Phone
- (208) 896-4159
- Fax
- (208) 896-4917
- NPI assigned
- Jun 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2005-0820 | NM | |
| Family Medicine Physician | 207Q00000X | M-9796 | ID | Primary |
Addresses
Primary practice location
201 Main St.
Marsing, ID 83639
Mailing address
PO Box 9
Nampa, ID 83653-0009
Phone (208) 467-4431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA12005 | Other | ID | IDAHO CONTROLLED SUBSTANC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-9796 | ID | MD | Family Medicine Physician |
| MD2005-0820 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1407899255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "NAMPA",
"state": "ID",
"postal_code": "836530009",
"telephone_number": "208-467-4431",
"fax_number": "208-467-7684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MAIN ST.",
"city": "MARSING",
"state": "ID",
"postal_code": "83639",
"telephone_number": "208-896-4159",
"fax_number": "208-896-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATCLIFF",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2005-0820",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-9796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO CONTROLLED SUBSTANC",
"identifier": "CA12005",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marsing, ID
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.