Individual provider Active NPI

Rebecca Couch, NP

  • Gerontology Nurse Practitioner
  • Winnsboro, TX
National Provider Identifier
1043884885
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1015736 Issued in TX
Practice address
209 E Broadway St
Winnsboro, TX 75494-2604
Phone
(903) 342-3355
Fax
(903) 342-3350
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1015736 TX
Gerontology Nurse Practitioner 363LG0600X 1015736 TX Primary

Addresses

Primary practice location

209 E Broadway St
Winnsboro, TX 75494-2604

Mailing address

153 RS County Road 2370
Alba, TX 75410-8065
Phone (903) 330-5140

Other practice location 1

105 Medical Plz
Sulphur Springs, TX 75482-2136
Phone (903) 885-3181

Other practice location 2

650 E Lennon Dr
Emory, TX 75440-3227
Phone (903) 473-7234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210528001537 TX Practitioner - Nurse Practitioner 4385043033 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

101 Medical PLZ
Sulphur Springs, TX 75482-2136
Phone (903) 885-6534

103 B Medical PLZ
Sulphur Springs, TX 75482-2136
Phone (903) 885-6688

105 Medical PLZ
Sulphur Springs, TX 75482-2136
Phone (903) 885-3181

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

650 E Lennon Dr
Christus Trinity Clinic
Emory, TX 75440-3227
Phone (903) 473-7234

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Feb 13, 2023 Accepting new patients
Winnsboro Health Services PLLC CurrentSince Apr 21, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 13, 2023 Accepting new patients

Locations

650 E Lennon Dr
Emory, TX 75440
Phone (903) 473-7234

105 Medical Plz
Sulphur Springs, TX 75482
Phone (903) 885-3181

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

209 E Broadway St
Winnsboro, TX 75494
Phone (903) 342-3355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11327/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rcouch102439@christushealth.direct-ci.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1043884885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 RS COUNTY ROAD 2370",
            "city": "ALBA",
            "state": "TX",
            "postal_code": "754108065",
            "telephone_number": "903-330-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E BROADWAY ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942604",
            "telephone_number": "903-342-3355",
            "fax_number": "903-342-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822136",
            "country_code": "US",
            "telephone_number": "903-885-3181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 E Lennon Dr",
            "address_purpose": "LOCATION",
            "city": "Emory",
            "state": "TX",
            "postal_code": "754403227",
            "country_code": "US",
            "telephone_number": "903-473-7234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUCH",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1015736",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1015736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, TX

Sources for this page

Verify at the official NPI Registry.