Rebecca Willingham, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

222117 Issued in LA

Practice address

23257 Kilgore St
Mandeville, LA 70471-8021

Phone

(985) 264-0312

Fax

(985) 231-0213

NPI assigned

Apr 4, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1912648189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23257 KILGORE ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704718021",
            "telephone_number": "985-264-0312",
            "fax_number": "985-231-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23257 KILGORE ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704718021",
            "telephone_number": "985-264-0312",
            "fax_number": "985-231-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "REBECCA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-04",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "222117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "abitabehavioralhealth@gmail.com",
            "affiliation": "N",
            "endpointDescription": "clinic email services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23257 Kilgore St",
            "city": "Mandeville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704718021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Demetrius Williams, PMHNP
• Myreka Richelle Williams
• Ruston Lee Williams, D.C.
• Trudy Meyers Williams, RD, LDN
• Wilbert Lee Williams Jr.
• John Kelver Willis, MD
• April Wilson
• Louis Philip Wingerter, RPH
• Shelly Ann Witman, SLP
• Victoria Witt, PHD, MS

• Psychiatric/Mental Health Nurse Practitioner in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.