Becky Wightman Althaus, RN, PH.D., CGC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP121066 Issued in TX

Practice address

750 8TH Ave Ste 200
Fort Worth, TX 76104-2500

Phone

(682) 885-2170

Fax

(817) 335-8277

NPI assigned

Jan 11, 2006

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

Other names 1

• Dr. Rebecca Wightman Althaus Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: ralthaus12095@cookchildrens.direct-ci.com

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1730168501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 8TH AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042500",
            "telephone_number": "682-885-2170",
            "fax_number": "817-335-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTHAUS",
        "first_name": "BECKY",
        "middle_name": "WIGHTMAN",
        "credential": "RN, PH.D., CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "TX",
            "license": "270.1006",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "230870",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP121066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ralthaus12095@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1300 W Lancaster Ave",
            "address_2": "STE 204",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761023410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ralthaus12095@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "750 8th Ave Ste 200",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ALTHAUS",
            "middle_name": "WIGHTMAN",
            "prefix": "DR.",
            "credential": "APRN, PH.D., FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alta Mere Dental PLLC
• Altamesa Dental
• Altamesa Dental Home PLLC
• Tomas Altamirano III, LMSW
• Aaron J Alterman
• Dru Elizabeth Altheide, SLP
• Altieri Dental,PC
• Kevin M Altieri, D.D.S.
• William Drost Altig, OD
• Altimate Care Pharmacy LLC (Altimate Care Pharmacy)

• Pediatric Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.