Individual provider Active NPI

Rebecca Husain

  • Psychiatric/Mental Health Registered Nurse
  • Holladay, UT
National Provider Identifier
1528880879
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
11787926-3102 Issued in UT
Practice address
4507 S Encanto LN
Holladay, UT 84117-4329
Phone
(210) 846-2585
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 11787926-3102 UT Primary

Addresses

Primary practice location

4507 S Encanto LN
Holladay, UT 84117-4329

Mailing address

4507 S Encanto LN
Holladay, UT 84117-4329
Phone (210) 846-2585

Other names 1

  • Rebecca King Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20250219001321 UT Practitioner - Nurse Practitioner 6608396874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novu Wellness and Aesthetics LLCGroup PAC ID 1456701820, 3 clinicians
Neurobehavioral Center for Growth LLCGroup PAC ID 4183859622, 7 clinicians

Practice addresses (Care Compare)

12011 S 700
Draper, UT 84020-9746
Phone (801) 803-8560

370 E S Temple
Suite 175
Salt Lake City, UT 84111-1241
Phone (801) 683-1062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Lake Behavioral Health, LLC CurrentSince Mar 31, 2025 Accepting new patients
Novu Wellness and Aesthetics LLC CurrentSince Feb 12, 2025 Accepting new patients
Salt Lake Behavioral Health, LLC CurrentSince Mar 31, 2025 Accepting new patients
Neurobehavioral Center for Growth LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

415 Medical Dr
Ste A100
Bountiful, UT 84010
Phone (801) 335-0522

415 Medical Dr
Ste B102
Bountiful, UT 84010
Phone (385) 275-0492

415 Medical Dr
Ste D101
Bountiful, UT 84010
Phone (201) 683-1062

429 S Main St
Logan, UT 84321

370 E South Temple
Ste 175
Slc, UT 84111
Phone (385) 299-5683

5926 Fashion Point Dr
Ste 120
South Ogden, UT 84403
Phone (801) 747-2800

3802 S 700 E
South Salt Lake, UT 84106
Phone (801) 264-6000

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1528880879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 S ENCANTO LN",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174329",
            "telephone_number": "210-846-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 S ENCANTO LN",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174329",
            "telephone_number": "210-846-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11787926-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.