Rebecca Mahurin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

149563 Issued in MO

Practice address

203 N Grand St
Salem, MO 65560-1344

Phone

(573) 729-4103

Fax

(573) 729-4420

NPI assigned

Apr 2, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Southeast Missouri Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Farmington, MO
  • NPI 1982875407
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1699193045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N GRAND ST",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601344",
            "telephone_number": "573-729-4103",
            "fax_number": "573-729-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N GRAND ST",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601344",
            "telephone_number": "573-729-4103",
            "fax_number": "573-729-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHURIN",
        "first_name": "REBECCA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "149563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailie Kinder, SLP-A
• Rose F Kinerk, MW
• Jonathan Kinney, LPC
• Sarah Knott, PTA
• Katrina Lewis, LPN
• Maple Investment Group LLC
• Lisa Martin, LPN
• Joshua Maurer, PMHNP
• Wayneth McComas
• William Eugene McCoy, O.D.

• Registered Nurse in Salem, MO
• Providers in Salem, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.