Individual provider Active NPI

Rebecca L. Chittenden, PA

  • Physician Assistant
  • Waterloo, IA
National Provider Identifier
1841434313
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1753 W Ridgeway Ave
Suite 102
Waterloo, IA 50701-4544
Phone
(319) 833-5888
Fax
(319) 833-5891
NPI assigned
Apr 28, 2009
Last updated
Oct 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1753 W Ridgeway Ave
Suite 102
Waterloo, IA 50701-4544

Mailing address

1753 W Ridgeway Ave
Suite 102
Waterloo, IA 50701-4544
Phone (319) 833-5888

Other identifiers 1

IdentifierTypeStateIssuer
P00751366OtherIARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000193 IA Practitioner - Physician Assistant 8628121506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

5100 Prairie Pkwy
Cedar Falls, IA 50613-8155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Dec 22, 2019 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Dec 22, 2019 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Aug 1, 2009 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

101 E J Ave
Ste 120
Grundy Center, IA 50638
Phone (319) 824-6945

303 Nicholas Dr
Ste 100
Marshalltown, IA 50158
Phone (641) 753-2752

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

502 3rd St
Parkersburg, IA 50665
Phone (319) 346-2331

1753 W Ridgeway Ave
Ste 102
Waterloo, IA 50701
Phone (319) 833-5888

Interoperability endpoints

  • Direct secure messaging: rchittenden158269@direct.unitypoint.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1841434313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE",
            "address_2": "SUITE 102",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014544",
            "telephone_number": "319-833-5888",
            "fax_number": "319-833-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE",
            "address_2": "SUITE 102",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014544",
            "telephone_number": "319-833-5888",
            "fax_number": "319-833-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTENDEN",
        "first_name": "REBECCA",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00751366",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.