Active NPI
Rebecca Lynn Jorgensen
- Behavior Analyst
- Nashville, TN
National Provider Identifier
1750605135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1132
- Practice address
- 424 Church St Ste 2000
Nashville, TN 37219-3304 - Phone
- (863) 397-6652
- NPI assigned
- Mar 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-07-3458 | FL | |
| Behavior Analyst | 103K00000X | 1132 | TN | Primary |
Addresses
Primary practice location
424 Church St Ste 2000
Nashville, TN 37219-3304
Mailing address
570 S Rosewood Dr
Clarksville, TN 37043-2385
Phone (863) 397-6652
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1132 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1750605135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 S ROSEWOOD DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370432385",
"telephone_number": "863-397-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 CHURCH ST STE 2000",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372193304",
"telephone_number": "863-397-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-07-3458",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.