Rebecca Trantham
Individual provider Active NPI Licensed Vocational Nurse · Lott, TX
NPI 1750865283 · NPPES record last updated Sep 20, 2018
Key facts
- NPI
- 1750865283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 149887 (TX)
- Practice address
- 103 State Highway 53
Lott, TX 76656-3574 - Phone
- (254) 493-9771
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149887 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 149887 | TX | Yes |
Addresses
Primary practice location
103 State Highway 53
Lott, TX 76656-3574
Mailing address
103 State Highway 53
Lott, TX 76656-3574
Other providers in Lott, TX
- Diana Nicole Alonzo
- Susan Elizabeth Ellwanger
- Amy Hollowell Krieger
- Adrienne Rias
- Rosebud-Lott Isd
- Emory Wegwerth Vogelsang
- Westphalia Isd
- Lisa A Yoder-Dubus
All providers in Lott, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.