Rebekah A Beardsley

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2105 Continental PL Ste a
Mount Vernon, WA 98273-4104

Phone

(360) 399-6900

NPI assigned

Nov 27, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeline Connections

  • Substance Abuse Rehabilitation Facility
  • Vancouver, WA
  • NPI 1689892473
  NPD (past)
• Lifeline Connections Medical Services

  • Primary Care Clinic/Center
  • Vancouver, WA
  • NPI 1245819887
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1942714191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 CONTINENTAL PL STE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734104",
            "telephone_number": "360-399-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CONTINENTAL PL STE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734104",
            "telephone_number": "360-399-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4120 Meridian St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982265575",
            "country_code": "US",
            "telephone_number": "360-922-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARDSLEY",
        "first_name": "REBEKAH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Michelle Bauer, LMP
• Laurie Ann Baumgartner, ARNP
• Jesus Antonio Bautista
• Mary Frances Bavaro, MD
• Patricia Beagle, LSWAIC
• Brittany Beaudoin
• Erin Ann Beck, PHARMD
• Kristine Beck, PA-C
• Jenna Beh, PA-C
• Nikki L Behner, A.R.N.P.

• Peer Specialist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.