Rachel Rebholz, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-136278 Issued in WI

Practice address

12705 W Ohio Dr
New Berlin, WI 53151-4631

Phone

(414) 544-0877

NPI assigned

Feb 22, 2019

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

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1609333004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 W OHIO DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 W OHIO DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514631",
            "telephone_number": "414-544-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHOLZ",
        "first_name": "RACHEL",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WI",
            "license": "L-136278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylyn S Ranta, M.D.
• Stephanie M. Rasmussen, CF-SLP
• David Campbell Raupp
• Meaghan Reaney, DO
• Rachel Reardon, FNP-BC
• Kathleen Reinoehl
• Melany Ann Remitz, RN, BSN, FNP-BC
• Renewed Health Family Chiropractic LLC
• Stephanie Renzoni
• Anne Repaci, MS CRC LPC

• Lactation Consultant (Registered Nurse) in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Lactation Consultant (Registered Nurse) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.