Individual provider Active NPI

Rebecca P. Bohach, LVN

  • Licensed Vocational Nurse
  • Gonzales, TX
National Provider Identifier
1942441159
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
133957 Issued in TX
Practice address
228 St. George
Community Health Centers of South Central Texas, Inc
Gonzales, TX 78629
Phone
(830) 672-6511
Fax
(830) 672-8608
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 133957 TX Primary

Addresses

Primary practice location

228 St. George
Community Health Centers of South Central Texas, Inc
Gonzales, TX 78629

Mailing address

228 St. George
Community Health Centers of South Central Texas, Inc
Gonzales, TX 78629
Phone (830) 672-6511

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

LicenseStateTypeSpecialty
133957TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1942441159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 ST. GEORGE",
            "address_2": "COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "78629",
            "telephone_number": "830-672-6511",
            "fax_number": "830-672-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 ST. GEORGE",
            "address_2": "COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "78629",
            "telephone_number": "830-672-6511",
            "fax_number": "830-672-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHACH",
        "first_name": "REBECCA",
        "middle_name": "P.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "133957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.