Provider Demographics
NPI:1568403251
Name:HOUMANN, REBECCA J (CRNA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:J
Last Name:HOUMANN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:FERGUESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:100 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5272
Practice Address - Country:US
Practice Address - Phone:828-650-8167
Practice Address - Fax:828-687-0729
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPRN1236367500000X
NC6525367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC576007863OtherAETNA
SC576007863OtherCIGNA
SC576007863OtherUHC
SC576007863OtherBLUE CHOICE
SCAN0961Medicaid
SC20031911OtherSELECT HEALTH GROUP
SC20012422OtherINDIVIDUAL SELECT HEALTH
SC430062056OtherMEDICARE RAILROAD
SC576007863OtherBCBS
SCAN0961Medicaid