Rebecca L Jackson, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

CAPRN01179 Issued in RI

Practice address

475 Kilvert St Ste 300
Warwick, RI 02886-1360

Phone

(401) 737-6900

NPI assigned

Mar 14, 2014

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1154747103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 RIVER AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029081424",
            "telephone_number": "857-939-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 KILVERT ST STE 300",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861360",
            "telephone_number": "401-737-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "CAPRN01179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J&J Lowney Medical Inc
• Elias Jabbour, MD
• George J. Jacewicz, M.D.
• Curtis Jackson, CIT
• Nicholas Jackson, LMHC
• Jaclyn Houston Therapy LLC
• Beck Jacobsen, MD
• Anjali Jaiman, MD
• Jaimini a. Desai,D.M.D.,Inc
• Rachana Jain, MD

• Adult Health Nurse Practitioner in Warwick, RI
• Providers in Warwick, RI by specialty
• Adult Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.