Rebecca Leigh Yukica, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0320000553 Issued in VT

Practice address

331 Upper PLN
Bradford, VT 05033-9207

Phone

(802) 222-4722

Fax

(802) 222-4709

NPI assigned

Jul 11, 2007

Last updated

Jun 18, 2015By 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rebecca@uvp.pcc-direct.com

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.

• Upper Valley Pediatrics, PLLC

  • Pediatric Adolescent Medicine Physician
  • Bradford, VT
  • NPI 1477935716
  NPD (past) Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1558560490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 UPPER PLN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050339207",
            "telephone_number": "802-222-4722",
            "fax_number": "802-222-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 UPPER PLN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050339207",
            "telephone_number": "802-222-4722",
            "fax_number": "802-222-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUKICA",
        "first_name": "REBECCA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "0320000553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101575",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry N Waterson, PSYA.D.
• Candace Sue Webster
• Aubrey Welch, LCMHC
• Janeen Wernecke
• Amy Woodward
• Elizabeth Mattox Zandstra, CMHC

• Pediatrics Physician in Bradford, VT
• Providers in Bradford, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.