Active NPI
Rebecca C. Metcalf, CFNP
- Nurse Practitioner
- Danville, OH
National Provider Identifier
1134344864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN.149467-COA1
- Practice address
- 304 Market St
The Sanctuary
Danville, OH 43014-9649 - Phone
- (740) 599-7224
- Fax
- (740) 599-7244
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN.149467-COA1 | OH | Primary |
Addresses
Primary practice location
304 Market St
The Sanctuary
Danville, OH 43014-9649
Mailing address
503 Wiggin St
Gambier, OH 43022-9649
Phone (740) 427-2414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034202 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.149467-COA1 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Ohio, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hilliard, OH
- NPI 1699706879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1134344864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 WIGGIN ST",
"city": "GAMBIER",
"state": "OH",
"postal_code": "430229649",
"telephone_number": "740-427-2414",
"fax_number": "740-427-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 MARKET ST",
"address_2": "THE SANCTUARY",
"city": "DANVILLE",
"state": "OH",
"postal_code": "430149649",
"telephone_number": "740-599-7224",
"fax_number": "740-599-7244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "REBECCA",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "RN.149467-COA1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2034202",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.