Individual provider Active NPI

Rebeca Maria Nimz, RN BSN

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1891290201
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60460348 Issued in WA
Practice address
6701 NE 78TH St
Vancouver, WA 98665-0956
Phone
(971) 570-1388
NPI assigned
Mar 27, 2018
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60460348 WA Primary

Addresses

Primary practice location

6701 NE 78TH St
Vancouver, WA 98665-0956

Mailing address

15530 NE Knott St Unit 35
Portland, OR 97230-8705
Phone (503) 927-4987

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60460348WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Vent Afh LLC Registered Nurse CurrentSince Oct 22, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1891290201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 NE KNOTT ST UNIT 35",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972308705",
            "telephone_number": "503-927-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 NE 78TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650956",
            "telephone_number": "971-570-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMZ",
        "first_name": "REBECA",
        "middle_name": "MARIA",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60460348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.