Active NPI
Rebekah Rye
- Athletic Trainer
- Fargo, ND
National Provider Identifier
1801337829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 686-15
- Practice address
- 1600 University Dr N
Fargo, ND 58105-2502 - Phone
- (605) 553-3221
- NPI assigned
- Mar 9, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 686-15 | ND | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1600 University Dr N
Fargo, ND 58105-2502
Mailing address
26456 465TH Ave
Hartford, SD 57033-6924
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686-15 | Other | ND | NORTH DAKOTA STATE ATHLETIC TRAINER LICENSE |
| 2000021237 | Other | NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION NUMBER |
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 |
|---|---|---|---|
| 686-15 | ND | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1801337829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26456 465TH AVE",
"city": "HARTFORD",
"state": "SD",
"postal_code": "570336924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY DR N",
"city": "FARGO",
"state": "ND",
"postal_code": "581052502",
"telephone_number": "605-553-3221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYE",
"first_name": "REBEKAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ND",
"license": "686-15",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH DAKOTA STATE ATHLETIC TRAINER LICENSE",
"identifier": "686-15",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION NUMBER",
"identifier": "2000021237",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.