NPI 1730168501 · live from the CMS NPI Registry
Becky Wightman Althaus, RN, PH.D., CGC
Nurse Practitioner, Pediatrics in Fort Worth, TX. National Provider Identifier 1730168501, active.
NPI record
| NPI | 1730168501 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 750 8th Ave Ste 200, Fort Worth, TX 76104 |
| Practice phone | 682-885-2170 |
| Mailing address | Po Box 733784, Dallas, TX 75373 |
| Enumerated | January 11, 2006 |
| Last updated | May 10, 2021 |
| Sole proprietor | No |
| Other names | Rebecca Althaus |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Genetic Counselor, MS | 170300000X | 270.1006 (TX) |
| Nurse Practitioner, Family | 363LF0000X | 230870 (TX) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | AP121066 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.