Active NPI
Rebecca Urevig
- Registered Nurse
- Minneapolis, MN
National Provider Identifier
1700284528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R120602-3
- Practice address
- 1099 10TH Ave SE
Minneapolis, MN 55414-1312 - Phone
- (612) 767-6375
- NPI assigned
- Dec 10, 2014
- Last updated
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R120602-3 | MN | Primary |
Addresses
Primary practice location
1099 10TH Ave SE
Minneapolis, MN 55414-1312
Mailing address
3013 Orchard Ave N
Golden Valley, MN 55422-3006
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 |
|---|---|---|---|
| R120602-3 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1700284528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 ORCHARD AVE N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 10TH AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554141312",
"telephone_number": "612-767-6375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UREVIG",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R120602-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.