Active NPI
Rebecca Anne Marie Nowacki, ARNP
- Family Nurse Practitioner
- Munster, IN
National Provider Identifier
1942701669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71010798A
- Practice address
- 701 Superior Ave Ste J
Munster, IN 46321-4038 - Phone
- (219) 934-9796
- Fax
- (219) 934-4075
- NPI assigned
- Feb 27, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | N360841509 | WA | |
| Family Nurse Practitioner | 363LF0000X | N360841509 | WA | |
| Family Nurse Practitioner | 363LF0000X | 71010798A | IN | Primary |
Addresses
Primary practice location
701 Superior Ave Ste J
Munster, IN 46321-4038
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (131) 752-8480
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rnowacki577488@Direct.FranciscanAlliance.org | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- rnowacki577488@direct.franciscanalliance.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1942701669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "131-752-8480",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SUPERIOR AVE STE J",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214038",
"telephone_number": "219-934-9796",
"fax_number": "219-934-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWACKI",
"first_name": "REBECCA",
"middle_name": "ANNE MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "N360841509",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "N360841509",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71010798A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rnowacki577488@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "701 Superior Ave Ste J",
"city": "Munster",
"state": "IN",
"country_code": "US",
"postal_code": "463214038",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.