Active NPI
Rebecca Martin Rully, LCSW
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1801113287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9497
- Practice address
- 10422 Springrose Dr
Tampa, FL 33626-2602 - Phone
- (813) 818-5979
- NPI assigned
- Apr 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW9497 | FL | Primary |
Addresses
Primary practice location
10422 Springrose Dr
Tampa, FL 33626-2602
Mailing address
10422 Springrose Dr
Tampa, FL 33626-2602
Phone (813) 818-5979
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John P McDonough III | Past | Accepting new patients | |
| GPS II | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Service Psychologist
- Longboat Key, FL
- NPI 1861740888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1801113287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10422 SPRINGROSE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262602",
"telephone_number": "813-818-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10422 SPRINGROSE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262602",
"telephone_number": "813-818-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULLY",
"first_name": "REBECCA",
"middle_name": "MARTIN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.