Rebecca Lynn Burgess
Individual provider Active NPI Community Health Worker · Baraboo, WI
NPI 1811409378 · NPPES record last updated Oct 24, 2017
Key facts
- NPI
- 1811409378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 840 State Road 136
Baraboo, WI 53913-9233 - Phone
- (608) 477-9858
- NPI assigned
- Oct 24, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
840 State Road 136
Baraboo, WI 53913-9233
Mailing address
417 Hitchcock St
Baraboo, WI 53913-2876
Other providers in Baraboo, WI
- Faye J Brickl
- Kelsy Ruthanne Brill
- Kimberly Anne Brown
- Lyndsey Marie Brunner
- Edward Bueno
- Burkhalter Chiropractic SC
- Austin Burkhalter
- Ronald J Burkhalter
- Kristine Kaye Burnstad
- Abigail Butchart
All providers in Baraboo, WI · Community Health Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2017. 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.