REBECCA MCDERMONDT RN
NPI 1124472642
Registered Nurse in Traverse City, MI

Q: What is Rebecca Mcdermondt's NPI number?

The NPI number for Rebecca Mcdermondt is 1124472642. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Q: What is Rebecca Mcdermondt's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Active since April 21, 2016

940 E 8TH ST, TRAVERSE CITY, MI 49686(231) 922-4810(231) 929-0416 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rebecca Mcdermondt Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA MCDERMONDT RN (NPI 1124472642) is an individual registered nurse in Traverse City, Michigan, licensed in Michigan (4704288497) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1124472642

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameREBECCA MCDERMONDTCredential: RN

Location Address940 E 8TH STTraverse City, MI 49686-2893

Mailing Address415 Cass St, Suite 2a & 2dTraverse City, MI 49684-2589 · (231) 922-4810 · Fax (231) 943-2590

Phone(231) 922-4810

Fax(231) 929-0416

Sole ProprietorNo

Enumeration DateApril 21, 2016

✔ NPI 1124472642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MI · 4704288497

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 4704288497 (MI)

940 E 8TH ST, Traverse City, MI 49686

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Other Identifiers 2

Medicaid1184087272MI

Medicaid1629431713MI

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN SMITH

Case Manager/Care Coordinator