REBECCA BOURGEOIS (NPI# 1407269400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407269400 |
| Entity Type | Individual |
| Full Name | REBECCA BOURGEOIS |
| Credential | RN |
| Practice Address |
1903 Sunset Ave Utica NY 13502-5617 |
| Mailing Address |
2209 Genesee St Business Office Utica NY 13501-5930 |
| Practice Telephone | 3156248150 |
| Practice Fax Number | 3157971537 |
| Mailing Telephone | 3158014238 |
| Mailing Fax Number | 3158018391 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
346512 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084827 | Rebecca Barr Bourgeois | Social Worker | 901 White St, Ruston Mental Health Center, Ruston, LA 71270 | 2006-04-22 |
| Street Address |
1903 SUNSET AVE |
| City | UTICA |
| State | NY |
| Zip Code | 13502-5617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073574679 | Jonathan David Wigderson | Orthopaedic Surgery | 1903 Sunset Ave, Utica, NY 13502-5617 | 2006-03-31 |
| 1073922704 | Philip Cox | Physician Assistant | 1903 Sunset Ave, Utica, NY 13502-5617 | 2014-08-06 |
| 1831481696 | Kevin Michael Powers | Specialist/Technologist, Other | 1903 Sunset Ave, Utica, NY 13502-5617 | 2011-05-11 |
| 1386874436 | Eric W Porritt | Orthopaedic Surgery | 1903 Sunset Ave, Utica, NY 13502-5617 | 2009-07-23 |
| 1578664389 | Mohawk Valley Orthopedicsn LLP | Orthopaedic Surgery | 1903 Sunset Ave, Utica, NY 13502-5617 | 2006-09-26 |
| 1083648224 | Kenneth Ortega | Orthopaedic Surgery | 1903 Sunset Ave, Utica, NY 13502-5617 | 2006-07-11 |
| 1992739353 | Leroy H Cooley | Orthopaedic Surgery | 1903 Sunset Ave, Utica, NY 13502-5617 | 2006-07-10 |
| 1386674331 | Margaret R Albanese | Orthopaedic Surgery | 1903 Sunset Ave, Utica, NY 13502-5617 | 2006-07-04 |
| 1770513665 | Maureen Quattrone | Physician Assistant | 1903 Sunset Ave, Utica, NY 13502-5617 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124689963 | Samantha Jo Prendergast | Nurse Practitioner | 1656 Champlin Ave Ste 406, Utica, NY 13502-4830 | 2019-06-24 |
| 1245717818 | Jaime Michelle Blum | Nurse Practitioner | 2206 Genesee St Ste 101, Utica, NY 13502-5829 | 2018-07-25 |
| 1104311844 | Daniel Vincent Mcelroy | Nurse Practitioner | 1508 Genesee St Ste 1, Utica, NY 13502-5178 | 2018-06-26 |
| 1639695893 | Amanda Baker | Nurse Practitioner | 1676 Sunset Ave # 4, Utica, NY 13502-5416 | 2017-08-19 |
| 1952754699 | Korinne M Smith | Nurse Practitioner | 117 Ardmore Pl, Utica, NY 13501-6301 | 2016-07-18 |
| 1568876464 | Kristen M. Deep | Nurse Practitioner | 525 French Rd, Utica, NY 13502-5945 | 2014-06-18 |
| 1609031277 | Louise Ann Dean-kelly | Nurse Practitioner | 12 N Horatio Street, Sunyit Health and Wellness Center, Utica, NY 13504-3050 | 2008-07-23 |
| 1962617159 | Laura Diane Carnevale | Nurse Practitioner | 1450 Champlain Ave, Utica, NY 13502-1350 | 2007-05-11 |
| 1992874077 | Lori Rae Bjornson | Nurse Practitioner | 11111 Hall Road, Suite 105, Utica, MI 48317 | 2006-11-06 |
| 1689767790 | Kathleen Ann Tanney | Nurse Practitioner | 230 N Genesee St, Utica, NY 13502-2529 | 2006-10-02 |
| Find all providers in UTICA | ||||
Please comment or provide details below to improve the information on REBECCA BOURGEOIS.
| 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.