Healthcare Provider Details

I. General information

NPI: 1881955946
Provider Name (Legal Business Name): REBEKAH WATSON NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBEKAH KASTELAN NBC-HWC

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 11TH ST
NIAGARA FALLS NY
14301-1201
US

IV. Provider business mailing address

201 MILLER ST
NORTH TONAWANDA NY
14120-6919
US

V. Phone/Fax

Practice location:
  • Phone: 716-278-8180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: