Rebecca Kathleen Ledwin, MS, RN, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95029971 Issued in CA

Practice address

22 Red Jacket St
Dansville, NY 14437-9502

Phone

(585) 335-5200

NPI assigned

Oct 13, 2006

Last updated

Dec 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Rebecca Kathleen Ledwin Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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

• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Los Banos, CA
  • NPI 1730163734
  NPD
• Golden Valley Health Centers

  dba GVHC Pharmacy

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1487867503
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1972693836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BORDEAUX WAY",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144504614",
            "telephone_number": "585-683-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379502",
            "telephone_number": "585-335-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDWIN",
        "first_name": "REBECCA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "MS, RN, PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95029971",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380349-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02074826",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.stonybrookpediatrics.com",
            "affiliation": "N",
            "endpointDescription": "web address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22 Red Jacket St",
            "city": "Dansville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144379502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LEDWIN",
            "middle_name": "KATHLEEN",
            "prefix": "MS.",
            "credential": "PNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Krista Szalc, Audiology, PLLC (Hornell, Dansville, Warsaw Hearing Centers)
• Jacob Kueppers
• Tiara R Kurtz, RN
• Lattimore of Geneseo Physical Therapy PC (Dansville Physical Therapy)
• Deborah Layman
• Jennifer L. Leuzzi, OPTICIAN
• Abigail Linn
• Megan Elizabeth Linsner, DPT
• Michael Loliger, DPT
• Kelly Lynne Lubaszewski, LMSW

• Pediatric Nurse Practitioner in Dansville, NY
• Providers in Dansville, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.