Rebecca Karin Henson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F07241388 Issued in CA

Practice address

415 N Crescent Dr Ste 340
Beverly Hills, CA 90210-4884

Phone

(562) 382-4763

Fax

(310) 388-5809

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Karin Barrera Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bobby Pourziaee D P M IncGroup PAC ID 0143246124, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Bobby Pourziaee, D P M Inc

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
  • NPI 1396807046
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1417780966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 340",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104884",
            "telephone_number": "562-382-4763",
            "fax_number": "310-388-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 340",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104884",
            "telephone_number": "562-382-4763",
            "fax_number": "310-388-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "REBECCA",
        "middle_name": "KARIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95110213",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F07241388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BARRERA",
            "middle_name": "KARIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa R Heller
• Sheridan Katherine Henderson, LMFT
• Toni La'Nette Henderson, D.D.S.
• Theodric Blue Hendrix Jr., M.D.
• Henrietta Stancz-Szeder MD Inc
• Her Healing Community
• Jessica Heravi, PHYSICIAN ASSISTANT
• Herbert a Glicksman (Herbert'S Pharmacy)
• Herbert I Stein MD a Medical Corp
• Herberts RX (Herbert's Pharmacy)

• Nurse Practitioner in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.