Rebecca Ann Jagernauth, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN147065 Issued in AZ

Practice address

3637 N 55TH Ave
Phoenix, AZ 85031-2503

Phone

(623) 691-5015

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1851600449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 N 55TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312503",
            "telephone_number": "623-691-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 N 55TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312503",
            "telephone_number": "623-691-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGERNAUTH",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN147065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mondana Jafari
• David Eric Jaffe, M.D.
• Russell Jaffe, PT
• Daniel Clement Jaffee, MD
• Narasimhan Jagannathan
• Carly Jahner
• Afshin S. Jahromi, MD
• Praveena Usha Jaidev, MD
• Anita J. Jaime, M.S.
• Ariana Michelle Jaime

• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.