Rebecca Ritten Segond

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11006250 Issued in FL

Practice address

543 NW Lake Whitney PL Ste 103
Port St Lucie, FL 34986-1604

Phone

(772) 873-5600

NPI assigned

Feb 23, 2021

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

State licenses

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1982298659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 S INDIAN RIVER DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827744",
            "telephone_number": "772-528-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 NW LAKE WHITNEY PL STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861604",
            "telephone_number": "772-873-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOND",
        "first_name": "REBECCA",
        "middle_name": "RITTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11006250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seaside Family Wellness, PLLC
• Josh Sebag
• Sarah Ann Sebban, PSY.D.
• Kristine Michelle Sedor
• Lori A Seegoolam, DNP
• Candice Segree, CNM
• Ashley Rose Seitz-Garofolo, PHARM D
• Alyssa Seldes, PA
• Select Physical Therapy Holdings Inc
• Self Expression Therapy Services, LLC

• Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.