Rebecca Carson Fitzpatrick

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1624 Kahler Rd
Pemberville, OH 43450-9664

Phone

(419) 266-2746

NPI assigned

May 20, 2024

Last updated

May 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1821837956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 KAHLER RD",
            "city": "PEMBERVILLE",
            "state": "OH",
            "postal_code": "434509664",
            "telephone_number": "419-266-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 KAHLER RD",
            "city": "PEMBERVILLE",
            "state": "OH",
            "postal_code": "434509664",
            "telephone_number": "419-266-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "REBECCA",
        "middle_name": "CARSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Bush
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• Cheryl Ann Dibling
• William O Donnelly, PH.D.
• Eastwood Local School
• Thomas Joseph Forrester III, PTA
• Amanda Fulford, COTA/L
• John T Archer & Associates Inc (Pemberville Vision Center)
• Kristin Elizabeth Kaiser, DDS
• Nicholas Katakis, OTA

• Personal Care Attendant in Pemberville, OH
• Providers in Pemberville, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.