Rebekah Monique De Jesus

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1815 Wells St
Las Cruces, NM 88003-1304

Phone

(915) 540-2350

NPI assigned

Apr 29, 2025

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

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1962290965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SAINT VINCENT DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925407",
            "telephone_number": "915-540-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 WELLS ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880031304",
            "telephone_number": "915-540-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "REBEKAH",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myr Lynn Dawson
• Marianne R. Day, D.D.S.
• Olivia De Alba
• Jackeline Jaziel De Anda
• Imelda De Corral
• Alisah De la O
• Alma E De la O, LISW
• Michelle De la O, CHW
• Ricardo Antonio De la O, LMT
• Deztine De la Rosa, NP

• All providers in Las Cruces, NM
• Athletic Trainer in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.