Active NPI
Rebecca Lynn Nash, LPN
- Licensed Practical Nurse
- Fergus Falls, MN
National Provider Identifier
1700170479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L067756-9
- Practice address
- 106 4TH Avenue North
Fergus Falls, MN 56537-1034 - Phone
- (218) 998-3778
- Fax
- (218) 998-3187
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L067756-9 | MN | Primary |
Addresses
Primary practice location
106 4TH Avenue North
Fergus Falls, MN 56537-1034
Mailing address
303 North 5TH Street
Brainerd, MN 56401
Phone (218) 839-6693
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L067756-9 | MN | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CK Home Health Care Inc. | Past | Accepting new patients | |
| CK Home Health | Past | Accepting new patients |
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.
-
- Assisted Living Facility
- Fergus Falls, MN
- NPI 1447553284
-
- Home Health Agency
- Fergus Falls, MN
- NPI 1568685683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1700170479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 NORTH 5TH STREET",
"city": "BRAINERD",
"state": "MN",
"postal_code": "56401",
"telephone_number": "218-839-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 4TH AVENUE NORTH",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565371034",
"telephone_number": "218-998-3778",
"fax_number": "218-998-3187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MN",
"license": "L067756-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.