Active NPI
Rebecca L Fabisch, APNP
- Nurse Practitioner
- Appleton, WI
National Provider Identifier
1528467446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5957-33
- Practice address
- 2500 E Capitol Dr
Ste 3350
Appleton, WI 54911-8735 - Phone
- (920) 831-1841
- NPI assigned
- Aug 15, 2014
- Last updated
- Jun 28, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5957-33 | WI | Primary |
Addresses
Primary practice location
2500 E Capitol Dr
Ste 3350
Appleton, WI 54911-8735
Mailing address
2500 E Capitol Dr
Suite 3350
Appleton, WI 54911-8735
Phone (920) 831-1841
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1528467446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E CAPITOL DR",
"address_2": "SUITE 3350",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118735",
"telephone_number": "920-831-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E CAPITOL DR",
"address_2": "STE 3350",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118735",
"telephone_number": "920-831-1841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABISCH",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5957-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.