Individual provider Active NPI

Rebecca Holden, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1669796751
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.008098 Issued in IL
Practice address
405 W Golf Rd
Schaumburg, IL 60195-3501
Phone
(224) 215-0011
NPI assigned
Mar 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.008098 IL Primary

Addresses

Primary practice location

405 W Golf Rd
Schaumburg, IL 60195-3501

Mailing address

405 W Golf Rd
Schaumburg, IL 60195-3501
Phone (224) 215-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121212000583 IL Practitioner - Nurse Practitioner 2668624925 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5694MNMDSpeech-Language Pathologist
209.008098ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

335 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 226-1006

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

205 S Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 292-5200

405 W Golf Rd
Schaumburg, IL 60195
Phone (224) 215-0011

2524 N Illinois St
Swansea, IL 62226
Phone (618) 235-0605

Interoperability endpoints

  • Direct secure messaging: rebecca.holden@552337174953988.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1669796751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953501",
            "telephone_number": "224-215-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953501",
            "telephone_number": "224-215-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.008098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.