Active NPI
Rebecca Husain
- Psychiatric/Mental Health Registered Nurse
- Holladay, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 11787926-3102
- Practice address
- 4507 S Encanto LN
Holladay, UT 84117-4329 - Phone
- (210) 846-2585
- NPI assigned
- Oct 28, 2024
- Last updated
- Oct 28, 2024
- 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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salt Lake Behavioral Health, LLC | Current | Accepting new patients | |
| Novu Wellness and Aesthetics LLC | Current | Accepting new patients | |
| Salt Lake Behavioral Health, LLC | Current | Accepting new patients | |
| Neurobehavioral Center for Growth LLC | Current | 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.
-
- Psychologist
- Bountiful, UT
- NPI 1942641931
-
- Family Nurse Practitioner
- Draper, UT
- NPI 1396510152
-
dba Salt Lake Behavioral Health
- Psychiatric Hospital
- Salt Lake City, UT
- NPI 1295066116
-
- Addiction Medicine (Family Medicine) Physician
- Salt Lake City, UT
- NPI 1689037566
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
- Holladay Psychological Services PLLC
- HRX Pharmacy (Spring Meds)
- HRX Pharmacy LLC
- Elsie Elizabeth Huefner, PHD, CMHC, NCC, DE
- Allison Hunt
- Ihc Health Services Inc (Holladay Pediatrics North)
- Innate Midwifery LLC (Innate Midwifery)
- Innovative Wound Solutions, LLC
- Christin Leigh Jacketta
- Jennifer Lynn Jackson, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.