Rebecca Kaeppel-Dieckmann, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R109135 Issued in AR

Practice address

1200 Business Park Dr
Little Rock, AR 72204-2609

Phone

(501) 907-8949

NPI assigned

May 9, 2021

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

Other names 1

• Rebecca Kaeppel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1457935165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILLIAMS RANCH RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720329597",
            "telephone_number": "501-548-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BUSINESS PARK DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042609",
            "telephone_number": "501-907-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEPPEL-DIECKMANN",
        "first_name": "REBECCA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R109135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KAEPPEL",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory Stephen Kaczenski, M.D.
• Michael Kaczkowski
• Bhadresh Kadakia, MD
• Mustafa Kadhim
• Brad Kaemmerling, MD
• Jennifer Kagebein
• Lori M Kagy, M.D.
• Matthew Kemp Kagy, MD
• Samantha Kagy
• Kahak Ar Inc

• Registered Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.