Rebecca Lucille, A.P.R.N. PSYCHIATRIC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

3423224405 Issued in UT

Practice address

5965 S 900 E
Suite 240
Salt Lake City, UT 84121-1720

Phone

(801) 263-7225

Fax

(201) 263-7279

NPI assigned

Dec 30, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Rebecca Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980
  NPD (past)
• Valley Mental Health Incorporated

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1275599797
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417934324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 N MAIN ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031633",
            "telephone_number": "801-633-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 S 900 E",
            "address_2": "SUITE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211720",
            "telephone_number": "801-263-7225",
            "fax_number": "201-263-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCILLE",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "A.P.R.N. PSYCHIATRIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "UT",
            "license": "3423224405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ANDERSON",
            "prefix": "MS.",
            "credential": "A.P.R.N. PSYCHIATRIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosa Ellaluse Lucero
• Sarah Lucero, RDN
• Veronica Lucero
• Ronda H Lucey, N.P.
• Linda Sue Luchsinger II, SSW
• Lucinda Bateman MD PC
• Jose Xavier Lucio, OTR
• Julie Bylund Luckart, N.P.
• Carolyn M. Luckett, NP
• Lucy Barr MD PC Dba Barr Aesthetics (Barr Facial Plastic Surgery)

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.