Individual provider Active NPI

Rebecca Kostopoulos

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1154746725
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9371094 Issued in FL
Practice address
185 SW 7TH St Apt 4207
Miami, FL 33130-2988
Phone
(941) 914-1287
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9371094 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401653 NY

Addresses

Primary practice location

185 SW 7TH St Apt 4207
Miami, FL 33130-2988

Mailing address

185 SW 7TH St Apt 4207
Miami, FL 33130-2988
Phone (941) 914-1287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9371094FLMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rebecca.kostopoulos@tlk.eclinicaldirectplus.com
  • Direct secure messaging: rek9032@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1154746725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SW 7TH ST APT 4207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302988",
            "telephone_number": "941-914-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SW 7TH ST APT 4207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302988",
            "telephone_number": "941-914-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOPOULOS",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9371094",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.