Individual provider Active NPI

Rebecca Hyde Edwards, APRN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1063751808
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
831747 Issued in NV
Practice address
85 Kirman Ave Ste LL-1
Reno, NV 89502-1346
Phone
(775) 982-2828
Fax
(775) 982-2834
NPI assigned
Feb 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 831747 NV Primary
Nurse Practitioner 363L00000X 831747 NV
Registered Nurse 163W00000X RN50471 NV

Addresses

Primary practice location

85 Kirman Ave Ste LL-1
Reno, NV 89502-1346

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5000

Other identifiers 2

IdentifierTypeStateIssuer
831747OtherNVNEVADA STATE BOARD OF NURSING
RN50471OtherNVNEVADA STATE BOARD OF NURSING

Other names 1

  • Rebecca Hyde Perdue Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN50471NVMDRegistered Nurse
831747NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Nurse Practitioner Current Accepting new patients
Community Care Services LLC Nurse Practitioner Past Accepting new patients

Locations

1155 Mill St
#14
Reno, NV 89502

85 Kirman Ave
Ste LL-1
Reno, NV 89502
Phone (775) 982-2828

850 Harvard Way
Reno, NV 89502

10315 Professional Cir
Ste 101
Reno, NV 89521
Phone (775) 982-2828

Interoperability endpoints

  • Direct secure messaging: redwards95210@direct.renown.org

Organizations & group practices 2

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": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1063751808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KIRMAN AVE STE LL-1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021346",
            "telephone_number": "775-982-2828",
            "fax_number": "775-982-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "REBECCA",
        "middle_name": "HYDE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "831747",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "831747",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN50471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF NURSING",
            "identifier": "831747",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF NURSING",
            "identifier": "RN50471",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PERDUE",
            "middle_name": "HYDE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.