Rebecca Keith, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3947-33 Issued in WI

Practice address

312 Business 53 Ste 7
Minong, WI 54859-9550

Phone

(715) 466-4400

Fax

(715) 466-4401

NPI assigned

Jan 7, 2010

Last updated

Jan 30, 2014By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1912237389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "address_2": "312 BUSINESS HYW 53, SUITE 7",
            "city": "MINONG",
            "state": "WI",
            "postal_code": "548590617",
            "telephone_number": "715-466-4400",
            "fax_number": "715-466-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BUSINESS 53 STE 7",
            "city": "MINONG",
            "state": "WI",
            "postal_code": "548599550",
            "telephone_number": "715-466-4400",
            "fax_number": "715-466-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "REBECCA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3947-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "130019-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick D Kosmach, PA-C
• Minong Area Fire and Ambulance Service (Minong Area Ambulance Service)
• Northwood School District
• Heather L Runge, PA-C
• Richard R Scott Jr., LAC

• Family Nurse Practitioner in Minong, WI
• Providers in Minong, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.