REBECCA K FASTLE NPI 1366402471

NPI Information

NPI: 1366402471
Provider Name: REBECCA K FASTLE
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
UNM DEPARTMENT OF EM MSC II
1 UNIVERSITY OF NM
ALBUQUERQUE, NM
ZIP 87131
Phone: (505) 272-5062
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Rebecca K Fastle is a pediatric emergency medicine pediatrics in Albuquerque, NM. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Rebecca K Fastle NPI is 1366402471. 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:

UNM DEPARTMENT OF EM MSC II
1 UNIVERSITY OF NM
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 272-5062
Fax: (505) 272-6503

The NPI 1366402471 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 3/23/2006 and was last updated on 8/23/2023.

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	207P00000X	Emergency Medicine		98-255	NEW MEXICO	No
2	207P00000X	Emergency Medicine		L2245	TEXAS	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	L2245	TEXAS	No
4	2080P0204X	Pediatrics	Pediatric Emergency Medicine	98-255	NEW MEXICO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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