MRS. REBECCA DAWN ISHOLA


Address: 6900 Alden Dr, Fe Warren Afb, WY 82005-2945
Phone: 0737733705

MRS. REBECCA DAWN ISHOLA (NPI# 1427421312) 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) 1427421312
Entity Type Individual
Full Name MRS. REBECCA DAWN ISHOLA
Other Name MRS. REBECCA DAWN COWEN/LUNDGREN
Credential RN, WHNP
Practice Address 6900 Alden Dr
Fe Warren Afb
WY 82005-2945
Mailing Address 6617 Painted Rock Trl
Cheyenne
WY 82001-8905
Practice Telephone 0737733705
Mailing Telephone 2133507261
Enumeration Date 2015-11-02
Last Update Date 2020-07-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WM0102X Registered Nurse
Specialization: Maternal Newborn
N-31116 ID Nursing Service Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
NP-1644A ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6900 ALDEN DR
City FE WARREN AFB
State WY
Zip Code 82005-2945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457990863 Vivian Colette Tran Pharmacist 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 2020-01-02
1275096737 Richard K Newman Student in an Organized Health Care Education/Training Program 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 2019-04-11
1952806069 Jodi Lynn Keithley Dietitian, Registered 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 2018-03-29
1437675949 Thomas Charles Ingersoll Jr. Physician Assistant 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 2017-08-16
1730619446 Lauren Joann Redlinger Family Medicine 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 2017-06-14
1679953640 Mary Frances Macleod Pediatrics 6900 Alden Dr, Fe Warren Afb, WY 82005 2015-06-04
1497144612 Kelly Smerling Nurse Practitioner 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 2015-01-12
1578979688 90th Medical Group-united States Air Force Military/U.S. Coast Guard Pharmacy 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 2014-07-09
1407289069 James Henry Barry Jr. Pediatrics 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 2013-08-18
1801183579 Ryan Patrick Voth Psychiatry & Neurology 6900 Alden Dr, Attn: 90 Mdos/sgoz Flight Med, Fe Warren Afb, WY 82005-3906 2011-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285250597 Brittany Corrin Souder Military Health Care Provider 1600 Aldene Drive, Fe Warren Afb, WY 82005 2020-06-23
1093368110 Aaron Michael Keating Student in an Organized Health Care Education/Training Program Mental Health Clinic, 90th Omrs, Fe Warren Clinic, Fe Warren Afb, WY 82005 2019-07-17
1477643823 Paul Hoon Kim Dentist 90 Mdos, 6900 Alden Dr, F.e. Warren Afb, WY 82005 2006-10-14
1568495315 Joseph Myles Simpson, Jr. Dentist F E Warren Air Force Base Dental Clinic, 6900 Alden Drive, Cheyenne, WY 82005 2006-07-07
1306864632 Lisa Sung Eun Lee Pharmacist 6900 Alden Drive, Fe Warren Afb, WY 82005 2006-07-17
1992957252 Perala Enterprises, LLC Eyewear Supplier (Equipment, not the service) 6207 Missile Dr, Building 722, Ft Warren Afb, WY 82005-2407 2008-10-17
1972157808 James Turvy Dentist 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-2945 2019-07-29
1245478676 Denise E Campbell Nutritionist 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 2009-01-22
1255837332 Robert Usher Wright Jr. General Practice 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 2018-04-05
1396018982 Ryan Christopher Reynolds Pharmacist 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 2012-02-14
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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1811092810 Candace Marie Tull Nurse Practitioner 107736 Hwy 89, Etna, WY 83118 2006-09-14
1386623239 Nancy Jane Potter Nurse Practitioner 1915 Oxford Lane, Suite 101, Casper, WY 82604 2006-01-10
1104366806 Leah M Albrecht Nurse Practitioner 1304 W 4th St, Gillette, WY 82716-3330 2017-02-28
1396167508 Judy Nicksich Nurse Practitioner 333 Broadway St, Ste. 120, Rock Springs, WY 82901-6243 2014-01-08
1093147787 Cathy Berens, PC Nurse Practitioner 940 East 3rd Street, Suite 107, Casper, WY 82601-3200 2013-08-05
1467764019 Jacqueline Gale Retherford Nurse Practitioner 111 S 5th St, Douglas, WY 82633-2434 2010-07-12
1346481389 Maryellen Agnes Riley Nurse Practitioner 1252 N 22nd St Unit A, Laramie, WY 82072 2009-03-22
1679772677 Becky Lynn Olson Nurse Practitioner 1333 W 5th St, Ste 210, Sheridan, WY 82801-2752 2007-07-11
1902850464 Ruth C Zebroski Nurse Practitioner 1460 Main St, Lander, WY 82520-2657 2006-05-20
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Competitor

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City FE WARREN AFB
Zip Code 82005

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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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