Rebecca Lynn Bandeen, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN144575 Issued in AZ

Practice address

6610 W Cordia LN
Phoenix, AZ 85083-7404

Phone

(623) 824-3660

Fax

(623) 572-9405

NPI assigned

Dec 2, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Canyon Midwifery LLC

  • Midwife
  • Phoenix, AZ
  • NPI 1407492069
  NPD
• Canyon Midwifery LLC

  • Advanced Practice Midwife
  • Phoenix, AZ
  • NPI 1528602059
  NPD

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1659918357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 W CORDIA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837404",
            "telephone_number": "623-824-3660",
            "fax_number": "623-572-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 W CORDIA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837404",
            "telephone_number": "623-824-3660",
            "fax_number": "623-572-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDEEN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "RN144575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578670121",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1578670121",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6610 W Cordia Ln",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850837404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ricardo Andres Banchs Pla, DC
• Denise Banchs, RN
• Harriet Nkhwanjiwa Banda, MD
• Dinuka Bandara, DO
• Arshad H Banday, MBBS
• Nicole Bandera Bastidos, LMSW
• Varasiddimounish Reddy Bandi, DO
• Sruti Bandlamuri
• Gregory L Bandy, MD
• Ipsha Banerjee, MD, MS

• Lactation Consultant (Registered Nurse) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Lactation Consultant (Registered Nurse) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.