Active NPI
Rebecca Joye Mark, PNP
- Pediatric Nurse Practitioner
- Aurora, CO
National Provider Identifier
1841449972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0990488-NP
- Practice address
- 13123 E 16TH Ave
Aurora, CO 80045-7106 - Phone
- (720) 777-1234
- NPI assigned
- Sep 12, 2008
- Last updated
- Sep 10, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 284258 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN284258 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | 0990488-NP | CO | Primary |
| Registered Nurse | 163W00000X | 1617763 | CO |
Addresses
Primary practice location
13123 E 16TH Ave
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
Other names 1
- Miss Rebecca Joye White
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 |
|---|---|---|---|
| 1617763 | CO | MD | Registered Nurse |
| 284258 | MA | MD | Registered Nurse |
| 0990488-NP | CO | MD | Pediatric Nurse Practitioner |
| RN284258 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Health Care | Past | Accepting new patients | |
| Kids First Health Care | Past | Accepting new patients | |
| Kids First Health Care | Past | Accepting new patients | |
| Kids First Health Care | Past | Accepting new patients | |
| Kids First Health Care | Past | Accepting new patients | |
| Kids First Health Care | Past | Accepting new patients | |
| Kids First Health Care | Past | Accepting new patients | |
| Kids First Health Care | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- Community Health Clinic/Center
- Westminster, CO
- NPI 1063239465
-
- Primary Care Clinic/Center
- Commerce City, CO
- NPI 1215608179
-
- Primary Care Clinic/Center
- Commerce City, CO
- NPI 1396407516
-
- Community Health Clinic/Center
- Thornton, CO
- NPI 1437726882
-
- Primary Care Clinic/Center
- Commerce City, CO
- NPI 1518629732
-
- Community Health Clinic/Center
- Commerce City, CO
- NPI 1639200702
-
- Primary Care Clinic/Center
- Commerce City, CO
- NPI 1790447985
-
- Community Health Clinic/Center
- Brighton, CO
- NPI 1851987176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1841449972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13123 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "REBECCA",
"middle_name": "JOYE",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "284258",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN284258",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "0990488-NP",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1617763",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "WHITE",
"middle_name": "JOYE",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.