REBECCA CARSON (NPI# 1063960045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063960045 |
| Entity Type | Individual |
| Full Name | REBECCA CARSON |
| Practice Address |
17356 Eastland St Roseville MI 48066-7801 |
| Practice Telephone | 5864411170 |
| Mailing Telephone | 5864411170 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
C 625 734 385 11 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | C 625 734 385 11 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528353851 | Rebecca Ann Carson | Nurse Practitioner | 3333 Burnet Ave, Ml 2008, Cincinnati, OH 45229-3026 | 2011-06-15 |
| 1750454575 | Rebecca Carson | Massage Therapist | 11212 Front Beach Rd, Panama City Beach, FL 32407-3668 | 2006-11-17 |
| 1437613577 | Rebecca R Carson | Occupational Therapist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2019-01-23 |
| 1366789950 | Rebecca J. Carson | Nurse Practitioner | 351 W Camden St, Baltimore, MD 21201-7912 | 2013-01-16 |
| Street Address |
17356 EASTLAND ST |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270728 | Alexander Senu Edorh | Student in an Organized Health Care Education/Training Program | 1430 Commerce St Apt 105, Roseville, MN 55113-4211 | 2019-11-19 |
| 1427547140 | Nathaniel John Williams | Student in an Organized Health Care Education/Training Program | 18325 E 10 Mile Rd Ste 200, Roseville, MI 48066-4990 | 2018-05-08 |
| 1659887339 | Erin Marie Cassidy | Student in an Organized Health Care Education/Training Program | 1228 Bunker Hill Dr, Roseville, CA 95661-5024 | 2017-12-18 |
| 1437692142 | Ladan Khatibijah | Student in an Organized Health Care Education/Training Program | 1660 E Roseville Pkwy Bldg 100, Roseville, CA 95661-3988 | 2016-11-29 |
| 1043762164 | Danielle Deniese Albright | Student in an Organized Health Care Education/Training Program | 1849 Cymbeline St, Roseville, CA 95747-4974 | 2016-10-25 |
| 1053732917 | Michael John Manthei | Student in an Organized Health Care Education/Training Program | 8207 Sierra College Blvd. Ste. 510, Roseville, CA 95661 | 2013-12-19 |
| 1598072449 | Brian Patrick Burley | Student in an Organized Health Care Education/Training Program | 1115 S Bluff Dr, Roseville, CA 95678-1148 | 2010-09-13 |
| 1922618966 | Susan Caraminda Quinto | Student in an Organized Health Care Education/Training Program | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2020-08-04 |
| 1427522432 | Kai M Schoen | Student in an Organized Health Care Education/Training Program | 2096 Fairways Ln, Roseville, MN 55113-3813 | 2019-01-14 |
| 1225540602 | Anna Topova | Student in an Organized Health Care Education/Training Program | 1830 Sierra Gardens Dr Ste 10, Roseville, CA 95661-2942 | 2017-10-25 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.