Active NPI
Rebecca Banks
- Athletic Trainer
- Wake Forest, NC
National Provider Identifier
1912769522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1101
- Practice address
- 1150 Forestville Rd
Wake Forest, NC 27587-7600 - Phone
- (919) 570-5600
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1101 | NC | Primary |
Addresses
Primary practice location
1150 Forestville Rd
Wake Forest, NC 27587-7600
Mailing address
1150 Forestville Rd
Wake Forest, NC 27587-7600
Phone (919) 570-5600
Other names 1
- Rebecca Busack
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1912769522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 FORESTVILLE RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877600",
"telephone_number": "919-570-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 FORESTVILLE RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877600",
"telephone_number": "919-570-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BUSACK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.