Rebecca Hussey Burris, C.F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Monticello, MS
NPI 1013023944 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013023944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R522481 (MS)
- Practice address
- 827 F. E. Sellers Highway
Monticello, MS 39654 - Phone
- (601) 587-4648
- Fax
- (601) 587-0613
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110509000321 | MS | Practitioner - Nurse Practitioner | 9436335437 | Practice locations: Monticello, MS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R522481 | MS | Yes |
Addresses
Primary practice location
827 F. E. Sellers Highway
Monticello, MS 39654
Mailing address
827 F. E. Sellers Highway
P O Box 728
Monticello, MS 39654
Phone (601) 587-4648
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117760 | Medicaid | MS |
Other providers in Monticello, MS
- Constance M. Bradford
- Brenco
- Bridges Professional Counseling and Consulting LLC
- Kelly Mackenzie Brister
- Amy Eaton Broome
- Richard Gerald Burris
- Caring Hands Behavioral Health and Wellness LLC
- Caring Hands Children'S Clinic, LLC
- Caring Hands Family Practice, LLC
- Robin Catchings
All providers in Monticello, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.