Active NPI
Rachel Lynette Covington, RN
- Registered Nurse
- Jackson, MS
National Provider Identifier
1356477426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R875097
- Practice address
- 1047 Pecan Blvd
Jackson, MS 39209-7145 - Phone
- (601) 209-2530
- NPI assigned
- Feb 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R875097 | MS | Primary |
| Registered Nurse | 163W00000X | RN186314 | GA |
Addresses
Primary practice location
1047 Pecan Blvd
Jackson, MS 39209-7145
Mailing address
1047 Pecan Blvd
Jackson, MS 39209-7145
Phone (601) 209-2530
Other names 1
- Mrs. Rachel Lynette Victory
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN186314 | GA | MD | Registered Nurse |
| R875097 | MS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356477426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 PECAN BLVD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392097145",
"telephone_number": "601-209-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 PECAN BLVD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392097145",
"telephone_number": "601-209-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVINGTON",
"first_name": "RACHEL",
"middle_name": "LYNETTE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "R875097",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN186314",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "VICTORY",
"middle_name": "LYNETTE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, MS
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.