Active NPI
Rebecca Fletcher, CRNA
- Certified Registered Nurse Anesthetist
- Mayfield, KY
National Provider Identifier
1295864262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1045966
- Practice address
- 1029 Medical Center Cir
Mayfield, KY 42066-1189 - Phone
- (270) 251-4100
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1045966 | KY | Primary |
Addresses
Primary practice location
1029 Medical Center Cir
Mayfield, KY 42066-1189
Mailing address
6111 Harris Rd
Paducah, KY 42001-9629
Phone (573) 686-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000355014 | Other | KY | KY BCBS IND |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1045966 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Anesthesia Group, PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Georgetown, KY
- NPI 1073608634
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295864262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6111 HARRIS RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420019629",
"telephone_number": "573-686-5550",
"fax_number": "573-686-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 MEDICAL CENTER CIR",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420661189",
"telephone_number": "270-251-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1045966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY BCBS IND",
"identifier": "000000355014",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.