Rebecca Jean Spieth, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

3894 SE Castlewood Drive
Port Orchard, WA 98366-2229

Phone

(360) 271-9503

Fax

(360) 769-5953

NPI assigned

May 30, 2008

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

Other identifiers 1

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1881852382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 POTTERY AVENUE",
            "address_2": "SUITE 18",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-271-9503",
            "fax_number": "360-769-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3894 SE CASTLEWOOD DRIVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662229",
            "telephone_number": "360-271-9503",
            "fax_number": "360-769-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIETH",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L& I",
            "identifier": "0273585",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Park Rexall Pharmacy, Inc.
• Aaron South
• Chelsea South, CBT
• Jeff M Spaulding, LAT
• Andee Spehar, MOTR/L
• Spinal Health Care Center
• Splendid Touch Homecare
• Sportsmed Physical Therapy, Inc., P.S.
• Magaret Stafne, ATC
• Erik J Stanley, EMT

• Specialist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.