Rebecca K Nelson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16172 Issued in WI

Practice address

Memorial Medical Center
1635 Maple Lane
Ashland, WI 54806-3610

Phone

(715) 685-5400

Fax

(715) 685-5102

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Family Health Center of Marshfield Inc

  dba Family Health Center - Ladysmith Alcohol & Drug Recovery Center

  • Federally Qualified Health Center (FQHC)
  • Ladysmith, WI
  • NPI 1225720469
  NPD (past)
• Family Health Center of Marshfield Inc

  dba Family Health Center - Marshfield Alcohol & Drug Recovery Center

  • Federally Qualified Health Center (FQHC)
  • Marshfield, WI
  • NPI 1568154714
  NPD (past)
• Family Health Center of Marshfield Inc

  dba Family Health Center - Minocqua Alcohol & Drug Recovery Center

  • Federally Qualified Health Center (FQHC)
  • Minocqua, WI
  • NPI 1588356729
  NPD (past)
• Memorial Medical Center Inc

  dba Tamarack Health Ashland Clinic

  • Rural Health Clinic/Center
  • Ashland, WI
  • NPI 1770255937
  NPD (past)

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1740770593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEMORIAL MEDICAL CENTER",
            "address_2": "1635 MAPLE LANE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063610",
            "telephone_number": "715-685-5400",
            "fax_number": "715-685-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEMORIAL MEDICAL CENTER",
            "address_2": "1635 MAPLE LANE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063610",
            "telephone_number": "715-685-5400",
            "fax_number": "715-685-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "REBECCA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "16172",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Moyer, OTR/L
• Donald Lee Murphy, PT
• Elizabeth Murphy
• Michael C Murphy, FNP
• Crystie Nelson
• Tami Nelson
• Barbra A Nevala, APRN, FNP, PMHNP
• New Horizons North Inc (Calm Waters Wellness)
• New Horizons North, Inc.
• New Horizons North, Inc.

• Addiction (Substance Use Disorder) Counselor in Ashland, WI
• Providers in Ashland, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

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