Rebecca Sue Pender, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

077683 Issued in IA

Practice address

219 E Euclid Ave
Monmouth, IL 61462-1247

Phone

(309) 734-9461

Fax

(309) 734-3909

NPI assigned

Apr 13, 2007

Last updated

Apr 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Normal, IL
  • NPI 1588948046
  NPD (past)
• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galesburg, IL
  • NPI 1851315535
  NPD (past)
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galesburg, IL
  • NPI 1154545879
  NPD (past)
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kewanee, IL
  • NPI 1578788188
  NPD (past)
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Macomb, IL
  • NPI 1760505044
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1720202369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 230TH ST",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612318533",
            "telephone_number": "309-582-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E EUCLID AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621247",
            "telephone_number": "309-734-9461",
            "fax_number": "309-734-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "077683",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041.246874",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041.246874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osf Healthcare System (OSF Holy Family Medical Center)
• Osf Healthcare System
• Osf Healthcare System (OSF Holy Family Medical Center)
• Pawprint Pathway Counseling, PLLC
• Ralph Peeler
• Personal Best Chiropractic, LLC
• Petersen Health Systems, Inc. (Legacy Estates of Monmouth)
• Petersen Health Systems, Ins (Courtyard Estates of Monmouth)
• Julie Petersen
• Alan E Phillips, D.C.

• Registered Nurse in Monmouth, IL
• Providers in Monmouth, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.