Individual provider Active NPI

Rebekah Soule

  • Behavior Technician
  • Whispering Pines, NC
National Provider Identifier
1669187118
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
875 Rays Bridge Rd
Whispering Pines, NC 28327-5910
Phone
(910) 260-4111
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

875 Rays Bridge Rd
Whispering Pines, NC 28327-5910

Mailing address

317 Sunray Dr
Clayton, NC 27520-4316
Phone (518) 407-9653

Other practice location 1

345 Devers St Ste 101&102
Fayetteville, NC 28303-4752
Phone (910) 224-5770

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://centralreach.com/ Direct
CONNECT URL https://centralreach.com/ Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1669187118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SUNRAY DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204316",
            "telephone_number": "518-407-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 RAYS BRIDGE RD",
            "city": "WHISPERING PINES",
            "state": "NC",
            "postal_code": "283275910",
            "telephone_number": "910-260-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Devers St Ste 101&102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283034752",
            "country_code": "US",
            "telephone_number": "910-224-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOULE",
        "first_name": "REBEKAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://centralreach.com/",
            "affiliation": "N",
            "endpointDescription": "Central Reach",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "875 Rays Bridge Rd",
            "city": "Whispering Pines",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283275910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://centralreach.com/",
            "affiliation": "N",
            "endpointDescription": "Central Reach",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "345 Devers St Ste 101&102",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283034752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whispering Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.