Active NPI
Rebecca Jill Pate, M.D.
- Psychiatry Physician
- Pineville, LA
National Provider Identifier
1164428785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25844
- Practice address
- 2495 Shreveport Hwy
Pineville, LA 71360-4044 - Phone
- (318) 473-0010
- NPI assigned
- Jun 28, 2005
- Last updated
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25844 | TN | |
| Psychiatry Physician | 2084P0800X | 25844 | TN | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy
Pineville, LA 71360-4044
Mailing address
2042 Alexander Blvd
Murfreesboro, TN 37130-9016
Phone (615) 479-7047
Other names 1
- Rebecca Jill Roberts
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25844 | TN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecare Family Services | Past | Accepting new patients | |
| Omni Community Health | Psychiatry | Past | Accepting new patients |
| Richland Creek Psychiatric Assoc. LLP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Pulaski, TN
- NPI 1245484005
-
- Clinical Social Worker
- Nashville, TN
- NPI 1497899363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1164428785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2042 ALEXANDER BLVD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371309016",
"telephone_number": "615-479-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "318-473-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "REBECCA",
"middle_name": "JILL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TN",
"license": "25844",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "25844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "ROBERTS",
"middle_name": "JILL",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.