Active NPI
Rebecca L Flanders, RN
- Registered Nurse
- Conklin, NY
National Provider Identifier
1629415633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 663227-1
- Practice address
- 1040 Conklin Rd
Conklin, NY 13748-1136 - Phone
- (607) 775-9108
- NPI assigned
- May 30, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 663227-1 | NY | Primary |
Addresses
Primary practice location
1040 Conklin Rd
Conklin, NY 13748-1136
Mailing address
21 Chestnut Dr
Whitney Point, NY 13862-2002
Phone (607) 279-5722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 663227-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1629415633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CHESTNUT DR",
"city": "WHITNEY POINT",
"state": "NY",
"postal_code": "138622002",
"telephone_number": "607-279-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 CONKLIN RD",
"city": "CONKLIN",
"state": "NY",
"postal_code": "137481136",
"telephone_number": "607-775-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANDERS",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "663227-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conklin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.