Individual provider Active NPI

Rebecca Banfield, APRN

  • Family Nurse Practitioner
  • Williamsburg, KY
National Provider Identifier
1124552369
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011074 Issued in KY
Practice address
896 S Highway 25 W
Williamsburg, KY 40769-1691
Phone
(606) 515-6124
NPI assigned
Apr 14, 2017
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009068A IN
Family Nurse Practitioner 363LF0000X 3011074 KY Primary

Addresses

Primary practice location

896 S Highway 25 W
Williamsburg, KY 40769-1691

Mailing address

896 S Highway 25 W
Williamsburg, KY 40769-1691
Phone (606) 515-6124

Other practice location 1

2317 Cumberland Ave
Middlesboro, KY 40965-2834
Phone (606) 242-3100

Other names 1

  • Rebecca Banfield Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170920000166 KY Practitioner - Nurse Practitioner 8224302963 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians
Brock Medical, LLCGroup PAC ID 9830354638, 93 clinicians
Tristate Medical Clinic IncGroup PAC ID 5890713424, 3 clinicians
Hope Primary and Urgent Care of Williamsburg PLLCGroup PAC ID 9739574468, 9 clinicians

Practice addresses (Care Compare)

115 Lee Ave
Suite 101
Pikeville, KY 41501-2047
Phone (606) 727-5296

1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571

15100 N US Hwy 25E
Suite 1
Corbin, KY 40701-6449
Phone (606) 261-2054

2317 Cumberland Ave
Middlesboro, KY 40965-2834

3503 Cumberland Ave
Middlesboro, KY 40965-2611
Phone (859) 582-7663

896 S Hwy 25 W
Williamsburg, KY 40769-1691
Phone (606) 376-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009068AINMDFamily Nurse Practitioner
3011074KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC Single Specialty CurrentSince Aug 8, 2017 Accepting new patients
Hope Primary & Urgent Care PLLC Single Specialty CurrentSince Jun 28, 2024 Accepting new patients
FC Indiana, LLC Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Upperline Healthcare, PC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Aug 8, 2017 Accepting new patients
FC Indiana, LLC CurrentSince Jul 1, 2019 Accepting new patients
Hope Primary & Urgent Care of Williamsburg PLLC Single Specialty CurrentSince May 10, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

805 S Lincoln Blvd
Hodgenville, KY 42748

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1752 Highway 192 W
Ste 1
London, KY 40741
Phone (606) 330-0055

115 Lee Ave
#101
Pikeville, KY 41501
Phone (606) 727-5296

304 Hwy 44 E
Shepherdsville, KY 40165

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

2157 S Highway 27
Stearns, KY 42647
Phone (606) 376-9700

896 S Highway 25 W
Williamsburg, KY 40769
Phone (606) 376-9700

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1124552369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 S HIGHWAY 25 W",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691691",
            "telephone_number": "606-515-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 S HIGHWAY 25 W",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691691",
            "telephone_number": "606-515-6124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2317 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "Middlesboro",
            "state": "KY",
            "postal_code": "409652834",
            "country_code": "US",
            "telephone_number": "606-242-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANFIELD",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009068A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BANFIELD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamsburg, KY

Sources for this page

Verify at the official NPI Registry.