Provider Demographics
NPI:1447912134
Name:LINDAMOOD, REBEKKA NIKKOLE (FNP-BC)
Entity type:Individual
Prefix:
First Name:REBEKKA
Middle Name:NIKKOLE
Last Name:LINDAMOOD
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6255
Mailing Address - Country:US
Mailing Address - Phone:724-201-2388
Mailing Address - Fax:877-384-3106
Practice Address - Street 1:815 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-6255
Practice Address - Country:US
Practice Address - Phone:724-201-2388
Practice Address - Fax:877-384-3106
Is Sole Proprietor?:No
Enumeration Date:2021-10-10
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV110888363LF0000X
OH0029838363LF0000X
PASP025078363LF0000X
TX1191902363LF0000X
MARN10018489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily