Rebecca D Childres

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024197382 Issued in VA

Practice address

767 Twin Bridges Rd
Green Bay, VA 23942-3046

Phone

(434) 480-8046

NPI assigned

May 8, 2026

Last updated

May 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pathways Youth Services

  dba Peaceful Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Scottsburg, VA
  • NPI 1306713714
  NPD (past)
• Wrapping Arms Youth Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Scottsburg, VA
  • NPI 1013891803
  NPD (past)

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1144157496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 TWIN BRIDGES RD",
            "city": "GREEN BAY",
            "state": "VA",
            "postal_code": "239423046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 TWIN BRIDGES RD",
            "city": "GREEN BAY",
            "state": "VA",
            "postal_code": "239423046",
            "telephone_number": "434-480-8046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1088 Bagwell Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "VA",
            "postal_code": "245892709",
            "country_code": "US",
            "telephone_number": "434-476-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDRES",
        "first_name": "REBECCA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024197382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Transport Services LLC
• Kandy Hayes
• Deborah Shealey, MDIV; DCC

• Psychiatric/Mental Health Nurse Practitioner in Green Bay, VA
• Providers in Green Bay, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.