Rebecca A Castleberry, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09430 Issued in LA

Practice address

2640 Country Club Rd Ste 400
Lake Charles, LA 70605-6079

Phone

(337) 426-0919

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rebecca Ann Pharris Former name

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebeccapharris@wcchs.allscriptsdirect.net
• Direct secure messaging: rebecca.castleberry@catc.eclinicaldirectplus.com

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.

• Calcasieu Urgent Care LLC

  dba Calcasieu Urgent Care

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490
  Medicare reassignment NPD
• Calcasieu Cameron Hospital Service District

  dba Vinton Medical Clinic

  • Rural Health Clinic/Center
  • Vinton, LA
  • NPI 1316924400
  NPD
• Calcasieu Urgent Care, LLC

  • Rural Health Clinic/Center
  • Breaux Bridge, LA
  • NPI 1194482398
  NPD

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1083137624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ORCHARD ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636268",
            "telephone_number": "337-540-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 COUNTRY CLUB RD STE 400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056079",
            "telephone_number": "337-426-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1429 Beglis Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706635603",
            "country_code": "US",
            "telephone_number": "337-528-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "242 Sam Houston Jones Pkwy",
            "address_purpose": "LOCATION",
            "city": "Moss Bluff",
            "state": "LA",
            "postal_code": "706115603",
            "country_code": "US",
            "telephone_number": "337-905-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Main St",
            "address_purpose": "LOCATION",
            "city": "Hackberry",
            "state": "LA",
            "postal_code": "706453303",
            "country_code": "US",
            "telephone_number": "337-762-3762",
            "fax_number": "337-762-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "API34446",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2468286",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PHARRIS",
            "middle_name": "ANN",
            "credential": "APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Caselman, PLPC
• Regina Rene Cassilis
• Whitney Castille
• Martin Daniel Castillo, FNP-C
• Harry Kay Castle, DDS
• Catalyst Behavioral Health LLC
• Rhett Thomas Cates, DDS
• Tallen Cavenah
• Kaitlyn Michelle Cayette, PHARMD
• CD Ross Health Systems LLC

• Family Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.

Verify at the official NPI Registry.