Individual provider Active NPI

Rebecca Lee Previte, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1215403001
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139143 Issued in TX
Practice address
6331 Prospect Ave
Dallas, TX 75214-3938
Phone
(214) 821-6331
Fax
(214) 821-6332
NPI assigned
Oct 18, 2018
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 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 AP139143 TX Primary

Addresses

Primary practice location

6331 Prospect Ave
Dallas, TX 75214-3938

Mailing address

6331 Prospect Ave
Dallas, TX 75214-3938
Phone (214) 821-6331

Other practice location 1

1629 Masters Dr
DeSoto, TX 75115-2134
Phone (214) 734-5857

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139143TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1215403001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 PROSPECT AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143938",
            "telephone_number": "214-821-6331",
            "fax_number": "214-821-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 PROSPECT AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143938",
            "telephone_number": "214-821-6331",
            "fax_number": "214-821-6332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 Masters Dr",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152134",
            "country_code": "US",
            "telephone_number": "214-734-5857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREVITE",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.