Rebecca Ann McDonald, FNP- BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

74675 Issued in ID

Practice address

1015 Caldwell Blvd Ste 3
Nampa, ID 83651-1717

Phone

(208) 291-5553

Fax

(208) 231-9958

NPI assigned

Dec 13, 2022

Last updated

Mar 5, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• 2M0Tiv8, PLLC

  dba 2m0tiv8 Health & Wellness Empowerment

  • Clinic/Center
  • Nampa, ID
  • NPI 1821843020
  NPD Authorized official
• East to West Family Medicine

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1801393616
  NPD (past)

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1982315636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 W CHERRY LN STE 1069",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-291-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CALDWELL BLVD STE 3",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511717",
            "telephone_number": "208-291-5553",
            "fax_number": "208-231-9958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5537 N Glenwood St Ste A",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837141336",
            "country_code": "US",
            "telephone_number": "208-395-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "FNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "74675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline J. McCoy, F.N.P., M.S.N.
• Malissa M McCulloch, LPC
• Paula McCurry, CNP
• Alison Rebecca McDonald
• Mark T McDonald, DDS
• Robert B McDonald, DMD
• Sheree McDonald
• Barry McGarrah
• Brian J. McGourty, O.D.
• Linda McIntosh

• Family Nurse Practitioner in Nampa, ID
• Providers in Nampa, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.