Individual provider Active NPI

Rebekah Ann Salles, FNP

  • Nurse Practitioner
  • Burley, ID
National Provider Identifier
1710464136
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
72003 Issued in ID
Practice address
1501 Hiland Ave Ste F
Burley, ID 83318-2682
Phone
(208) 677-6212
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 72003 ID Primary
Family Nurse Practitioner 363LF0000X 95009410 CA

Addresses

Primary practice location

1501 Hiland Ave Ste F
Burley, ID 83318-2682

Mailing address

55 Plaza Cir Ste a
Salinas, CA 93901-2952

Other practice location 1

775 Pole Line Rd W Ste 103
Twin Falls, ID 83301-5819
Phone (208) 814-8375

Other practice location 2

799 Front St
Soledad, CA 93960-3017
Phone (831) 678-0881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181025002401 CA Practitioner - Nurse Practitioner 6507119278 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72003IDMDNurse Practitioner
95009410CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Vepema Laborist Medical Group, Inc. CurrentSince Dec 24, 2024 Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients
Pain Clinics of Central California, Inc. PastSince Jun 1, 2020 Accepting new patients
Universal Healthcare Professional Medical PC PastSince Sep 9, 2016 Accepting new patients
Lags Spine and Sportscare Medical Centers Inc Past Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

1501 Hiland Ave
Ste F
Burley, ID 83318
Phone (208) 677-6212

Interoperability endpoints

  • Direct secure messaging: rsalles435151@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1710464136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PLAZA CIR STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HILAND AVE STE F",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182682",
            "telephone_number": "208-677-6212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Pole Line Rd W Ste 103",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015819",
            "country_code": "US",
            "telephone_number": "208-814-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 Front St",
            "address_purpose": "LOCATION",
            "city": "Soledad",
            "state": "CA",
            "postal_code": "939603017",
            "country_code": "US",
            "telephone_number": "831-678-0881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLES",
        "first_name": "REBEKAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "72003",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

Verify at the official NPI Registry.