MS. REBECCA LUCILLE (NPI# 1417934324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417934324 |
| Entity Type | Individual |
| Full Name | MS. REBECCA LUCILLE |
| Other Name | MS. REBECCA ANDERSON |
| Credential | A.P.R.N. PSYCHIATRIC |
| Practice Address |
5965 S 900 E Suite 240 Salt Lake City UT 84121-1720 |
| Mailing Address |
337 N Main St Salt Lake City UT 84103-1633 |
| Practice Telephone | 8012637225 |
| Practice Fax Number | 2012637279 |
| Mailing Telephone | 8016335458 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
3423224405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5965 S 900 E SUITE 240 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745301 | Debra Lynn Falvo | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2005-10-24 |
| 1376908087 | Alyssa Milne | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-12-22 |
| 1053776138 | Rachel Feinberg | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-12-16 |
| 1174997894 | April Madsen | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-18 |
| 1639542608 | Lauren Carah Christensen | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-12 |
| 1154794725 | Claire Nitz | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-04 |
| 1063884427 | Jannah Lee Faumuina | Social Worker | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-26 |
| 1215309901 | Joni Whitaker | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-21 |
| 1295107076 | Anisa Plastow | Social Worker | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-20 |
| 1891166658 | Jennifer Wallace | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223678 | Mark Dudley | Clinical Nurse Specialist | 1399 S 700 E Ste 11b, Salt Lake City, UT 84105-2149 | 2005-05-30 |
| 1285736926 | Marie Kathleen Acree | Clinical Nurse Specialist | 650 E 4500 S, Suite 300, Salt Lake City, UT 84107-2900 | 2006-09-02 |
| 1154383206 | Carolyn Louise Anich | Clinical Nurse Specialist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467606228 | Marilyn Louise Little | Clinical Nurse Specialist | 198 W 7200 S, Midvale, UT 84047-3749 | 2008-11-06 |
| 1922202282 | Robin Jacobs | Clinical Nurse Specialist | 1174 E Graystone Way Ste 4, Slc, UT 84106-2671 | 2007-06-12 |
| 1154408805 | Lynne L Gagon | Clinical Nurse Specialist | 147 E Main St, Vernal, UT 84078-2643 | 2006-11-01 |
| 1063504025 | Lynda Sue Baum | Clinical Nurse Specialist | 881 W State Rd Ste 140-429, Pleasant Grove, UT 84062-2131 | 2006-09-28 |
| 1053398610 | Connie Hall Strong | Clinical Nurse Specialist | 22 S State St, Clearfield, UT 84015-1043 | 2005-12-26 |
| 1356695175 | Mardi Bruner Bartholdt | Clinical Nurse Specialist | 1350 E 750 N, Orem, UT 84097-4345 | 2012-10-31 |
| 1144315110 | Joan L Hadley | Clinical Nurse Specialist | 5005 S 900 E, Suite 100, Murray, UT 84117-5788 | 2006-10-04 |
| City | SALT LAKE CITY |
| Zip Code | 84121 |
Please comment or provide details below to improve the information on MS. REBECCA LUCILLE.
| 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.