REBECCA J HAUCK


Address: 1500 Salem St, Lafayette, IN 47904-2164
Phone: 7654488000

REBECCA J HAUCK (NPI# 1134527807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134527807
Entity Type Individual
Full Name REBECCA J HAUCK
Credential FNP
Practice Address 1500 Salem St
Lafayette
IN 47904-2164
Mailing Address Po Box 5545
Lafayette
IN 47903-5545
Practice Telephone 7654488000
Mailing Telephone 7654488000
Enumeration Date 2014-12-12
Last Update Date 2020-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28188953A IN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
71005320A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201273920 05
IN ANTHEM PROVIDER NUMBER 000000921057 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
915 Sagamore Pkwy W, West Lafayette, IN 479061443 7654632424

Other Providers REBECCA HAUCK

NPI Name Taxonomy Address Enumeration
1316098452 Rebecca Hauck Counselor 1019 N. Main St., Oneida, NY 13421 2007-01-16

Office Location

Street Address 1500 SALEM ST
City LAFAYETTE
State IN
Zip Code 47904-2164

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568448876 Tamara Loewen Hazbun Emergency Medicine 1500 Salem St, Lafayette, IN 47904-2164 2005-12-19
1801246467 Jacqulyn Burgess Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2016-06-15
1942656186 Amanda Dehne Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2016-05-06
1679977128 Michael E Criswell Clinical Nurse Specialist 1500 Salem St, Lafayette, IN 47904-2164 2014-10-13
1962840785 Amy Sue Mclaughlin Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2013-06-14
1487920310 Laurie L Lebegue Specialist/Technologist, Other 1500 Salem St, Lafayette, IN 47904-2164 2012-03-26
1356659403 Leslie Anne Bentinganan Family Medicine 1500 Salem St, Lafayette, IN 47904-2164 2010-09-22
1154598563 Tasbirul Islam Internal Medicine 1500 Salem St, Lafayette, IN 47904-2164 2008-05-14
1346413713 Leslie E Harshman Specialist/Technologist, Other 1500 Salem St, Lafayette, IN 47904-2164 2008-04-08
1376715631 Teri Anne Anderson Specialist/Technologist, Other 1500 Salem St, Lafayette, IN 47904-2164 2008-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952915233 Christi Danielle Carmouche Nurse Practitioner 119 Crooked Stick Ln, Lafayette, LA 70506-7539 2020-09-03
1881204808 Shavondali Harris Cawthorne Nurse Practitioner 945 Bellevue Plantation Rd, Lafayette, LA 70503-6122 2020-08-04
1386253870 Millcreek Medical LLC Nurse Practitioner 105 Moss Brook Dr, Lafayette, LA 70508-8039 2020-07-30
1174145759 Synita Wooten Nurse Practitioner 200 Highway 52 Byp E, Lafayette, TN 37083-1353 2020-05-18
1316567548 Michelle Cataldo Nurse Practitioner 605 Viridian Dr Apt 148, Lafayette, CO 80026-7045 2020-04-17
1255974515 Dr. Terrell S Manuel, LLC Nurse Practitioner 336 Brightwood Dr, Lafayette, LA 70508-7358 2019-10-19
1477117562 Kayley Jon Myers Nurse Practitioner 200 Beaullieu Dr Ste 6, Lafayette, LA 70508-7230 2019-04-24
1003371840 Brandi Rene Boutte Nurse Practitioner 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5705 2019-02-06
1265912141 Kathryn Lynn Armentor Boutte Nurse Practitioner 4212 W Congress St Ste 3300, Lafayette, LA 70506-6789 2018-08-20
1801380829 Sarah Darouse Nurse Practitioner 155 Hospital Dr Ste 101, Lafayette, LA 70503-2852 2018-06-22
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Competitor

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City LAFAYETTE
Zip Code 47904

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Dataset Information

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.

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