Active NPI
Rebecca Hyde Edwards, APRN
- Family Nurse Practitioner
- Reno, NV
National Provider Identifier
1063751808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 831747
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831747 | Other | NV | NEVADA STATE BOARD OF NURSING |
| RN50471 | Other | NV | NEVADA STATE BOARD OF NURSING |
Other names 1
- Rebecca Hyde Perdue
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN50471 | NV | MD | Registered Nurse |
| 831747 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Obstetrics & Gynecology Physician
- Reno, NV
- NPI 1982088274
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.