Rebecca Fuquay, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5011281 Issued in NC

Practice address

300 Bethesda Dr
Greenville, NC 27834-7218

Phone

(252) 752-7141

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tri-Cities Regional Emergency Physicians, PC

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1063950046

  Nurse Practitioner

  Medicare reassignment NPD
• Greenville Pediatric Services, Inc

  • Pediatrics Physician
  • Greenville, NC
  • NPI 1679542971
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1275004491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347218",
            "telephone_number": "252-752-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347218",
            "telephone_number": "252-752-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUQUAY",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24445",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5011281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Fullington, RN
• Melissa Jean Fulmer, AGACNP-BC
• Daniel Kenji Funabashi, DDS
• Raven Nikohl Funderburk
• Paige Pressly Fuqua, LPC
• Melany Furimsky, DO
• Troy David Furimsky, DDS
• Thomas A Furlong, PA-C
• Leah Furlough
• Margaret Michelle Fuson, PTA

• Pediatric Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.