Rebecca Lee Iwanczyk, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3248 Issued in TN

Practice address

5819 Winding LN Ste 101
Hixson, TN 37343-4067

Phone

(423) 877-5042

Fax

(423) 877-5046

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1881880177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 WINDING LN STE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434067",
            "telephone_number": "423-877-5042",
            "fax_number": "423-877-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 WINDING LN STE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434067",
            "telephone_number": "423-877-5042",
            "fax_number": "423-877-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANCZYK",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Physical Therapy LLC
• Christopher Ian Innes, M.D.
• Integrated Pathways, LLC
• Interventional Healthcare Services
• Interventional Pain Solutions
• Rebekah Jablonowski, OTR/L
• Vikki Lynn Jacob, R.PH.
• Jacobs Entrepreneurial Group
• Bradley John Jacobs, DDS MS
• Kristen Walters Jacobs, D.M.D

• Speech-Language Pathologist in Hixson, TN
• Providers in Hixson, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.