DR. REBECCA LEE ROSS RN PHD PMHNP NPI 1922208685

NPI Information

NPI: 1922208685
Provider Name: DR. REBECCA LEE ROSS, RN, PHD, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
615 PIIKOI ST STE 2002
HONOLULU, HI
ZIP 96814
Phone: (808) 491-5533
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DR. Rebecca Lee Ross, RN, PHD, PMHNP is a psychiatric/mental health nurse practitioner in Honolulu, HI with 27 years of experience. DR. Rebecca Lee Ross, RN, PHD, PMHNP NPI is 1922208685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

615 PIIKOI ST STE 2002
HONOLULU, HI
ZIP 96814-142
Phone: (808) 491-5533
Fax: (888) 391-1445

The NPI 1922208685 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 6/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	089003200N6	OREGON	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP4299	ARIZONA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN-1816	HAWAII	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	105724	MEDICAID	OREGON
2	735373	MEDICAID	ARIZONA
3	R106538	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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