Individual provider Active NPI

Rebecca Kaufman, ARNP

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1710224076
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9458644 Issued in FL
Practice address
1965 Capital Cir NE Ste 200
Tallahassee, FL 32308-8402
Phone
(850) 656-2006
Fax
(850) 656-2820
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9458644 FL Primary

Addresses

Primary practice location

1965 Capital Cir NE Ste 200
Tallahassee, FL 32308-8402

Mailing address

1965 Capital Cir NE
Ste 200
Tallahassee, FL 32308-8402
Phone (850) 656-2006

Other practice location 1

1010 E 10th St
Tucson, AZ 85719-5813
Phone (520) 731-4617

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9458644FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710224076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 CAPITAL CIR NE",
            "address_2": "STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088402",
            "telephone_number": "850-656-2006",
            "fax_number": "850-656-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 CAPITAL CIR NE STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088402",
            "telephone_number": "850-656-2006",
            "fax_number": "850-656-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857195813",
            "country_code": "US",
            "telephone_number": "520-731-4617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9458644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.