Rebecca Aliza Theise, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R226346 Issued in MD

Practice address

1645 Liberty Rd Ste 205
Eldersburg, MD 21784-6542

Phone

(203) 481-7008

NPI assigned

Jul 2, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Perl and Feinerman P.a.

  • Pediatric Adolescent Medicine Physician
  • Eldersburg, MD
  • NPI 1790860096
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Branford Pediatrics & Allergy, P.C.

  • Allergy Physician
  • Branford, CT
  • NPI 1851411169
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1083793525
  NPD (past)

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1629451190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181733",
            "telephone_number": "917-613-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD STE 205",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846542",
            "telephone_number": "203-481-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISE",
        "first_name": "REBECCA",
        "middle_name": "ALIZA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R226346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Tetteh, MSN. CRNP, NP-C
• Kathleen Tewey
• The Giant Company, LLC (Martin's Pharmacy #6307)
• The Haven Counseling Services, LLC
• The Training Room, Inc.
• Therapeutic Kneads, LLC
• Andrew K Thompson, DDS
• Katie R Thompson, LGPC
• Patricia Nowicki Thompson, PHD
• Timothy P. Passarello, DDS, PA

• Pediatric Nurse Practitioner in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.