Rebecca Tilley, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

079011108RN Issued in OR

Practice address

900 Sunset Dr
900 Sunset Drive
La Grande, OR 97850-1387

Phone

(541) 963-8421

Fax

(541) 963-1837

NPI assigned

Mar 17, 2017

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1942741343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SUNSET DR",
            "address_2": "PO BOX 3290",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501387",
            "telephone_number": "541-963-8421",
            "fax_number": "541-963-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SUNSET DR",
            "address_2": "900 SUNSET DRIVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501387",
            "telephone_number": "541-963-8421",
            "fax_number": "541-963-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "REBECCA",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "079011108RN",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": "079011108RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Ann Thomas, M.D.
• Hailey Thompson, MS, QMHP
• Linna A Thompson, MS, CCC-SLP
• Kristian Ryan Thornton
• Thrifty Payless Inc (Rite Aid Pharmacy 05398)
• Bradley Jack Tishman
• Naghmeh Tishman
• Bryan Tolle, D.O.
• Michelle Tolle, D.O.
• Tracey Kathleen Tracy, MD

• Registered Nurse First Assistant in La Grande, OR
• Providers in La Grande, OR by specialty
• Registered Nurse First Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.