Active NPI
Rebecca P. Bohach, LVN
- Licensed Vocational Nurse
- Gonzales, TX
National Provider Identifier
1942441159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 133957
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 133957 | TX | MD | Licensed 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.