Individual provider Active NPI

Rebecca Renee Ferneding

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1194418582
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28003 Issued in SC
Practice address
2001 2ND Ave Ste 201
Summerville, SC 29486-7887
Phone
(843) 572-4840
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28003 SC Primary
Family Nurse Practitioner 363LF0000X 353256 NY

Addresses

Primary practice location

2001 2ND Ave Ste 201
Summerville, SC 29486-7887

Mailing address

PO Box 31665
Charlotte, NC 28231-1665
Phone (843) 793-6980

Other practice location 1

1100 Johnnie Dodds Blvd
MT Pleasant, SC 29464-3131
Phone (843) 572-4840

Other practice location 2

2291 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 572-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231108001198 SC Practitioner - Nurse Practitioner 8224485529 Reassigns benefits to 2 organizations
I20241104002005 NY Practitioner - Nurse Practitioner 8224485529 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical of New York PC CurrentSince Jan 1, 2026 Accepting new patients
Refuah Health Center, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Dec 7, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Dec 7, 2024 Accepting new patients
Refuah Health Center Inc CurrentSince Sep 1, 2024 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
CH Specialty Services SC LLC Family CurrentSince Oct 11, 2023 Accepting new patients
Curana Health of South Carolina PC CurrentSince Oct 11, 2023 Accepting new patients
Refuah Health Center, Inc. Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

1885 State Route 52
Liberty, NY 12754
Phone (845) 292-0078

205 Airport Executive Park
Nanuet, NY 10954
Phone (845) 356-3610

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249

408 Wilson Ave
Spring Valley, NY 10977

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1194418582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31665",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282311665",
            "telephone_number": "843-793-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 2ND AVE STE 201",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867887",
            "telephone_number": "843-572-4840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Johnnie Dodds Blvd",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294643131",
            "country_code": "US",
            "telephone_number": "843-572-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2291 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294147801",
            "country_code": "US",
            "telephone_number": "843-572-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNEDING",
        "first_name": "REBECCA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28003",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.