MS. REBECCA L WHITE (NPI# 1902903321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902903321 |
| Entity Type | Individual |
| Full Name | MS. REBECCA L WHITE |
| Credential | FNP |
| Practice Address |
1315 Wyoming St Missoula MT 59801-1725 |
| Practice Telephone | 4065329700 |
| Practice Fax Number | 4065413035 |
| Mailing Telephone | 4065329700 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NP-629A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 19355.0277 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
100917 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP-100917 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 123446300 | 05 | |
| ID | 807242401 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 209 N 10th St Ste A, Hamilton, MT 598402357 | 4065329101 | 4063634498 |
| 8204 Wyoming Highway 789, Wyoming Life Resource Center, Lander, WY 825202941 | 3073356715 | 3073356991 |
| Pmg Mt Grant Creek Walk In, 3075 N Reserve St Ste Q, Missoula, MT 598081411 | 4063271750 | 4063271960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079455 | Rebecca Cynthia White | Physical Therapist | 1700 Reisterstown Rd Ste 125, Pikesville, MD 21208-2978 | 2020-10-05 |
| 1528616943 | Rebecca White | Occupational Therapist | 909 W 450 S, Springville, UT 84663-2292 | 2019-08-28 |
| 1104325570 | Rebecca White | Counselor | 3452 Lake Lynda Dr Ste 120, Orlando, FL 32817-1472 | 2018-02-12 |
| 1760819874 | Rebecca White | Registered Nurse | 14003 Tobago Ct, Baytown, TX 77523-2146 | 2013-10-03 |
| 1215363049 | Rebecca Campbell White | Registered Nurse | 3822 Ne 71st Ave, Portland, OR 97213-5155 | 2013-09-25 |
| 1205061785 | Rebecca Sarah White | Psychologist | 180 5th St E, Saint Paul, MN 55101-2672 | 2009-05-27 |
| 1669515276 | Rebecca Jane White | Dietitian, Registered | 1041 Hill Street, Wisconsin Rapids, WI 54495 | 2007-02-14 |
| 1205843430 | Rebecca Sc White | Family Medicine | 561 S Denali St, Suite E, Palmer, AK 99645-6439 | 2006-08-01 |
| 1447223433 | Rebecca L White | Pediatrics | 2525 Kinard St, Newberry, SC 29108-2909 | 2006-02-09 |
| 1265031462 | Rebecca White | Counselor | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-10-20 |
| Street Address |
1315 WYOMING ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124033006 | Daniel Brzozowski | Social Worker | 1315 Wyoming St, Missoula, MT 59801-1725 | 2006-07-30 |
| 1669005526 | Heather Marie Judkins | Nurse Practitioner | 1315 Wyoming St, Missoula, MT 59801-1725 | 2020-02-19 |
| 1538710884 | Jillian Andersch | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2019-09-26 |
| 1326508342 | Sarah Mcnair | Social Worker | 1315 Wyoming St, Missoula, MT 59801-1725 | 2019-03-25 |
| 1023525854 | Partnership Health Center Inc. | Clinic/Center | 1315 Wyoming St, Missoula, MT 59801-1725 | 2018-01-02 |
| 1598203291 | Kimberly Apryle | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2017-02-02 |
| 1053863597 | Kelsey Parke | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2016-11-01 |
| 1194273730 | Kaley Radermacher | Social Worker | 1315 Wyoming St, Missoula, MT 59801-1725 | 2016-09-12 |
| 1740737022 | Danyel N Longmire | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2016-09-05 |
| 1598177925 | Brian Jerome Sharkey Jr. | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2014-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730656299 | Brandi Roman Glibbery | Nurse Practitioner | 4109 Barbara Ln, Missoula, MT 59803-1114 | 2018-11-01 |
| 1326526948 | Ruth Elizabeth King | Nurse Practitioner | 6114 Helena Dr, Missoula, MT 59803-2706 | 2018-08-06 |
| 1205313590 | Michelle Weaver Knowles | Nurse Practitioner | 2825 Fort Missoula Rd Ste 113, Missoula, MT 59804-7403 | 2018-07-19 |
| 1467995928 | Sarah Slater | Nurse Practitioner | 1101 S 3rd St W Ste 101, Missoula, MT 59801-2321 | 2016-11-30 |
| 1992161772 | Jennifer Jane Lee Simon | Nurse Practitioner | 500 W Broadway St Ste 310, Missoula, MT 59802-4003 | 2016-01-08 |
| 1427489822 | Katrina Lin Brucker | Nurse Practitioner | 902 N Orange St Ste 202, Missoula, MT 59802-2928 | 2013-12-10 |
| 1659704526 | Heidi Efinger | Nurse Practitioner | 2340 Mullan Rd, Missoula, MT 59808-1830 | 2013-08-15 |
| 1427301589 | Adeline May Wakeman | Nurse Practitioner | 728 Monroe St, Apt. A, Missoula, MT 59802-3716 | 2012-10-25 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1780946764 | Ka Moua | Nurse Practitioner | 2685 Palmer St Ste D, Missoula, MT 59808-1709 | 2012-06-14 |
| Find all providers in MISSOULA | ||||
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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.