Active NPI
Rebecca M Farias, LPN
- Licensed Practical Nurse
- Sebring, FL
National Provider Identifier
1154896587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5205214
- Practice address
- 7205 S George Blvd
Sebring, FL 33875-5847 - Phone
- (863) 386-6040
- Fax
- (863) 382-9482
- NPI assigned
- Oct 12, 2018
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5205214 | FL | Primary |
Addresses
Primary practice location
7205 S George Blvd
Sebring, FL 33875-5847
Mailing address
605 S Young Ave
Avon Park, FL 33825-4313
Phone (863) 873-0312
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5205214 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1154896587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S YOUNG AVE",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338254313",
"telephone_number": "863-873-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 S GEORGE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338755847",
"telephone_number": "863-386-6040",
"fax_number": "863-382-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIAS",
"first_name": "REBECCA",
"middle_name": "M",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-12",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5205214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.