Individual provider Active NPI

Rebecca Kuntz, FNP

  • Family Nurse Practitioner
  • Leesville, LA
National Provider Identifier
1336777911
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
239849 Issued in LA
Practice address
802 S 10TH St Ste C
Leesville, LA 71446-4662
Phone
(337) 238-4189
Fax
(949) 892-2823
NPI assigned
Mar 30, 2020
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 239849 LA Primary

Addresses

Primary practice location

802 S 10TH St Ste C
Leesville, LA 71446-4662

Mailing address

802 S 10TH St Ste C
Leesville, LA 71446-4662
Phone (337) 238-4189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20210312000693 TX Practitioner - Nurse Practitioner 2163838319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
239849LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiology Care, PA PastSince May 26, 2024 Accepting new patients
Melissa K Moss MD LLC PastSince Oct 6, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rlopez@epfpc.gwaydirect.com

Organizations & group practices 2

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1336777911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S 10TH ST STE C",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464662",
            "telephone_number": "337-238-4189",
            "fax_number": "949-892-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S 10TH ST STE C",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464662",
            "telephone_number": "337-238-4189",
            "fax_number": "949-892-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZ",
        "first_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "239849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.