Individual provider Active NPI

Rebekah E Carey, DNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Machesney Park, IL
National Provider Identifier
1902912967
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
209015471 Issued in IL
Practice address
9721 North Alpine Road
Machesney Park, IL 61115-1664
Phone
(815) 484-6300
Fax
(815) 395-2021
NPI assigned
Aug 22, 2006
Last updated
May 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209015471 IL Primary

Addresses

Primary practice location

9721 North Alpine Road
Machesney Park, IL 61115-1664

Mailing address

9721 North Alpine Road
Machesney Park, IL 61115-1664
Phone (815) 484-6300

Other identifiers 1

IdentifierTypeStateIssuer
41276000MedicaidWI

Other names 1

  • Rebekah E Albrecht Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209015471ILMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1902912967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 NORTH ALPINE ROAD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151664",
            "telephone_number": "815-484-6300",
            "fax_number": "815-395-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 NORTH ALPINE ROAD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151664",
            "telephone_number": "815-484-6300",
            "fax_number": "815-395-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "REBEKAH",
        "middle_name": "E",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209015471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41276000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "ALBRECHT",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Machesney Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.