Individual provider Active NPI

Jessica Anna Rubio, FNP

  • Primary Care Nurse Practitioner
  • Burlington, NC
National Provider Identifier
1063642130
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
251651 Issued in NC
Practice address
221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone
(336) 570-3739
Fax
(336) 570-1215
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 251651 NC Primary

Addresses

Primary practice location

221 N Graham Hopedale Rd
Burlington, NC 27217-2971

Mailing address

221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone (336) 570-3739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20201218000217 NC Practitioner - Nurse Practitioner 8224270996 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251651NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Piedmont Health Services, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Piedmont Health Services, Inc. Current Accepting new patients

Locations

5270 Union Ridge Rd
Burlington, NC 27217
Phone (336) 421-3247

221 N Graham Hopedale Rd
Burlington, NC 27217
Phone (336) 532-0414

7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone (919) 542-1641

1301 Central Dr
Ste B
Sanford, NC 27330
Phone (919) 933-8494

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1063642130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N GRAHAM HOPEDALE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172971",
            "telephone_number": "336-570-3739",
            "fax_number": "336-570-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N GRAHAM HOPEDALE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172971",
            "telephone_number": "336-570-3739",
            "fax_number": "336-570-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "JESSICA",
        "middle_name": "ANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "251651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.