Active NPI
Rebecca S Jee, CNP
- Acute Care Nurse Practitioner
- Rio Rancho, NM
National Provider Identifier
1831353663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R30610
- Practice address
- 968 Ivory Rd SE
Rio Rancho, NM 87124-3032 - Phone
- (505) 891-3450
- NPI assigned
- Jul 10, 2008
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R30610 | NM | Primary |
Addresses
Primary practice location
968 Ivory Rd SE
Rio Rancho, NM 87124-3032
Mailing address
968 Ivory Rd SE
Rio Rancho, NM 87124-3032
Phone (505) 891-3450
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
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R30610 | NM | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1831353663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 IVORY RD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243032",
"telephone_number": "505-891-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 IVORY RD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243032",
"telephone_number": "505-891-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEE",
"first_name": "REBECCA",
"middle_name": "S",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NM",
"license": "R30610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.