Rebecca Jane Wittmann, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041393938 Issued in IL

Practice address

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099

Phone

(618) 234-2120

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By 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

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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1629821087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HARVEST CT",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341622",
            "telephone_number": "618-616-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT ELIZABETH BLVD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691099",
            "telephone_number": "618-234-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMANN",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041393938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Winkeler, RN, IBCLC, CEIM
• Laurean Jada Winston, PA-C
• Jamie Winters
• Zachariah Wisnasky, RN
• Jacob Samuel Witt, M.D.
• Kathleen Mary Wolf, MS. CCC-SLP
• Mary Suzanne Wolfenbarger, LCSW
• Taylor Wolkart, OD
• Sloane Miranda Wolter, LCSW
• Benjamin F Wood, MD

• Registered Nurse in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.