Maureen Rebholz

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

041204093 Issued in IL

Practice address

925 West St
Peru, IL 61354-2757

Phone

(815) 780-3485

NPI assigned

Jun 5, 2018

Last updated

Jun 5, 2018By 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 names 1

• Maureen O'Hearne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1619469608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WEST ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542757",
            "telephone_number": "815-780-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WEST ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542757",
            "telephone_number": "815-780-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHOLZ",
        "first_name": "MAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "041204093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "O'HEARNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ram L & Neelam Goel PTR
• Candace R Ramirez, APN
• Melissa Elvira Ramirez, MSN, FNP-C
• Alexis L Rebholz
• Brianna Megan Rebholz, PTA
• Deborah Redd, RN CDE CPT
• Grant M Reed, DO
• Lindsey Reed, DPT
• Miranda Reinhardt, MS, RD, LDN
• Catherine Rae Renk

• Diabetes Educator Registered Nurse in Peru, IL
• Providers in Peru, IL by specialty
• Diabetes Educator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.