MS. REBECCA SARAH LIGHT-PEARLMAN PNP NPI 1912047515

NPI Information

NPI: 1912047515
Provider Name: MS. REBECCA SARAH LIGHT-PEARLMAN, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4444 FOREST PARK AVE
STE 2600
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 286-1700
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MS. Rebecca Sarah Light-pearlman, PNP is a pediatrics nurse practitioner in Saint Louis, MO. MS. Rebecca Sarah Light-pearlman, PNP NPI is 1912047515. 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:

4444 FOREST PARK AVE
STE 2600
SAINT LOUIS, MO
ZIP 63108-212
Phone: (314) 286-1700
Fax: (314) 286-1777

The NPI 1912047515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 11/15/2021.

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	363LP0200X	Nurse Practitioner	Pediatrics	2002025109	MISSOURI	Yes

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	Other Provider Identifier Issuer
1	420021299	MEDICAID	MISSOURI

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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