Individual provider Active NPI

Rebecca Sears

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1215312186
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009536 Issued in KY
Practice address
1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796
Phone
(606) 528-5527
Fax
(606) 526-9687
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009536 KY Primary

Addresses

Primary practice location

1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796

Mailing address

1019 Cumberland Falls Hwy
Suite B201
Corbin, KY 40701-2735
Phone (606) 526-9005

Other identifiers 1

IdentifierTypeStateIssuer
7100392590MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151110002675 KY Practitioner - Nurse Practitioner 7517277163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1019 Cumberland Falls Hwy
Suite D141
Corbin, KY 40701-2796
Phone (606) 528-5527

313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Grace Community Health Center, Inc. Current Accepting new patients
Grace Community Health Center Inc Family CurrentSince Nov 1, 2015 Accepting new patients

Locations

1019 Cumberland Falls Hwy
Ste D141
Corbin, KY 40701
Phone (606) 528-5527

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005

21154 Highway 421
Ste 1
Hyden, KY 41749

272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614

85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410

9824 US Highway 25 E
Pineville, KY 40977
Phone (606) 337-5506

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

5296 Highway 221
Stoney Fork, KY 40988
Phone (606) 337-8108

Interoperability endpoints

  • Direct secure messaging: rsears704531@direct.ochin.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1215312186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY",
            "address_2": "SUITE B201",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012735",
            "telephone_number": "606-526-9005",
            "fax_number": "606-526-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY STE D141",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012796",
            "telephone_number": "606-528-5527",
            "fax_number": "606-526-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100392590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.