Provider Demographics
NPI:1679956379
Name:HAMMES, REBECCA S (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:S
Last Name:HAMMES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:S
Other - Last Name:REEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:855 A AVENUE NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5057
Mailing Address - Country:US
Mailing Address - Phone:319-368-5500
Mailing Address - Fax:319-368-5503
Practice Address - Street 1:855 A AVENUE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5057
Practice Address - Country:US
Practice Address - Phone:319-368-5500
Practice Address - Fax:319-368-5503
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.012729363LW0102X
IAF148815363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health