Rebecca Brejcha, ARNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP.AP.60698855-NP Issued in WA

Practice address

5580 Nordic PL
Ferndale, WA 98248-9138

Phone

(360) 384-1511

NPI assigned

Oct 13, 2016

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Family Care Network PLLC

  • Clinical Medical Laboratory
  • Ferndale, WA
  • NPI 1215655089
  NPD (past)

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1972053965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 NORDIC PL",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489138",
            "telephone_number": "360-384-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 NORDIC PL",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489138",
            "telephone_number": "360-384-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREJCHA",
        "first_name": "REBECCA",
        "credential": "ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.60698855-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Jo Booher
• Diane Kay Borden, MA, LMHC
• Braden G. Miller DDS PLLC
• Brittany Brawley, DDS, MS
• Coco Breen, M.A., CF-SLP
• Bridges Treatment & Recovery
• Mark L Brooks, DDS
• Samuel G Browning, DO
• Amelia Rose Brush
• Nichole Lynn Cammack

• All providers in Ferndale, WA
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.