Individual provider Active NPI

Rebecca Kilbourne

  • Clinical Social Worker
  • Hyden, KY
National Provider Identifier
1245651256
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253440 Issued in KY
Practice address
130 Kate Ireland Drive
Hyden, KY 41749
Phone
(606) 672-2341
Fax
(606) 672-5254
NPI assigned
Dec 17, 2013
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 253440 KY Primary

Addresses

Primary practice location

130 Kate Ireland Drive
Hyden, KY 41749

Mailing address

130 Kate Ireland Drive
Hyden, KY 41749-9415
Phone (606) 672-2341

Other practice location 1

115 Rockwood Ln
Hazard, KY 41701
Phone (606) 436-5761

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920000922 KY Practitioner - Clinical Social Worker 3375873169 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 1, 2020 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 1, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc. Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients

Locations

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1245651256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KATE IRELAND DRIVE",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417499415",
            "telephone_number": "606-672-2341",
            "fax_number": "606-672-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KATE IRELAND DRIVE",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "41749",
            "telephone_number": "606-672-2341",
            "fax_number": "606-672-5254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Rockwood Ln",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "41701",
            "country_code": "US",
            "telephone_number": "606-436-5761",
            "fax_number": "606-436-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILBOURNE",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyden, KY

Sources for this page

Verify at the official NPI Registry.