NPIMap

Individual provider Active NPI

Rebecca Ryder

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1225619307
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11472 Issued in NC
Practice address
40 Duke Medicine Cir # 2J
Durham, NC 27710-8467
Phone
(919) 684-6437
Fax
(919) 681-8147
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 0010-11472 NC Primary

Addresses

Primary practice location

40 Duke Medicine Cir # 2J
Durham, NC 27710-8467

Mailing address

40 Duke Medicine Cir # 2J
Durham, NC 27710-3949
Phone (919) 684-6437

Other practice location 1

901 N Winstead Ave
Rocky Mount, NC 27804-8467
Phone (252) 937-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216000376 NC Practitioner - Physician Assistant 2466843032 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Colorado School of Medicine, Aurora, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

10207 Cerny St
Raleigh, NC 27617-4880
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Boice-Willis Clinic, PA CurrentSince Dec 9, 2021 Accepting new patients
Boice-Willis Clinic PA Family Medicine CurrentSince Dec 9, 2021 Accepting new patients
Duke Health Integrated Practice, Inc CurrentSince Feb 5, 2024 Accepting new patients

Locations

4220 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

40 Duke Medicine Cir
#2J
Durham, NC 27710
Phone (919) 385-5487

10207 Cerny St
Ste 200
Raleigh, NC 27617
Phone (919) 385-7675

901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200

Interoperability endpoints

  • Direct secure messaging: rryder569960@direct.medicine.duke.edu

Organizations & group practices 6

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 8

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1225619307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIR # 2J",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277103949",
            "telephone_number": "919-684-6437",
            "fax_number": "919-681-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIR # 2J",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277108467",
            "telephone_number": "919-684-6437",
            "fax_number": "919-681-8147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Winstead Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278048467",
            "country_code": "US",
            "telephone_number": "252-937-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYDER",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.