Individual provider Active NPI

Rebeccca Joann Stewart, CRNP-BC

  • Family Nurse Practitioner
  • Hamilton, AL
National Provider Identifier
1144047838
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-113195 Issued in AL
Practice address
530 Bexar Ave W
Hamilton, AL 35570-5723
Phone
(205) 921-2838
NPI assigned
Sep 24, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-113195 AL Primary

Addresses

Primary practice location

530 Bexar Ave W
Hamilton, AL 35570-5723

Mailing address

1816 Highway 237
Phil Campbell, AL 35581-3811
Phone (256) 810-1662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250207002699 AL Practitioner - Nurse Practitioner 7810427671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Medical Center LLCGroup PAC ID 3678947793, 7 clinicians
Divine Family Wellness, LLCGroup PAC ID 0244657658, 6 clinicians

Practice addresses (Care Compare)

1728 11TH Ave
Haleyville, AL 35565-1506
Phone (205) 485-7822

530 Bexar Ave W
Hamilton, AL 35570-5723
Phone (205) 921-2838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Family Wellness, LLC Family CurrentSince Dec 1, 2024 Accepting new patients
Revive Medical Center LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1728 11th Ave
Haleyville, AL 35565
Phone (205) 485-7822

530 Bexar Ave W
Hamilton, AL 35570
Phone (205) 269-1483

Interoperability endpoints

  • Direct secure messaging: rebecca.stewart.1@29882.direct.athenahealth.com

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, 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": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1144047838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 HIGHWAY 237",
            "city": "PHIL CAMPBELL",
            "state": "AL",
            "postal_code": "355813811",
            "telephone_number": "256-810-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BEXAR AVE W",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705723",
            "telephone_number": "205-921-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "REBECCCA",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-113195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, AL

Sources for this page

Verify at the official NPI Registry.