Active NPI
Rebekah Danielle Lewis
- Physician Assistant
- Elkhorn City, KY
National Provider Identifier
1366068256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2883
- Practice address
- 945 W Russell St
Elkhorn City, KY 41522-9032 - Phone
- (800) 226-8874
- Fax
- (877) 366-4776
- NPI assigned
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110009460 | VA | |
| Physician Assistant | 363A00000X | PA2883 | KY | Primary |
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | PA9115144 | FL |
Addresses
Primary practice location
945 W Russell St
Elkhorn City, KY 41522-9032
Mailing address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (800) 226-8874
Other practice location 1
202 Painter St
Galax, VA 24333-3830
Phone (800) 226-8874
Other practice location 2
1 Sparks Ave
Jamestown, KY 42629-2449
Phone (800) 226-8874
Other practice location 3
1800 Western Avenue
Bowling Green, KY 42104-5822
Phone (800) 226-8874
Other practice location 4
599 Rogersville Rd
Radcliff, KY 40160-9321
Phone (800) 226-8874
Other practice location 5
116 S Commonwealth Ave
Corbin, KY 40701-6408
Phone (800) 226-8874
Other practice location 6
920 S 4th St
Louisville, KY 40203-3206
Phone (800) 226-8874
Other practice location 7
1201 5th Ave
Calvert City, KY 42029-8233
Phone (800) 226-8874
Other practice location 8
1 Sparks Ave
Jamestown, KY 42629-2449
Phone (800) 226-8874
Other practice location 9
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (800) 226-8874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2883 | Other | KY | KY STATE LICENSE |
Other names 1
- Rebekah Danielle Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211026000725 | FL | Practitioner - Physician Assistant | 6608264569 | Reassigns benefits to 1 organization |
| I20211221002786 | KY | Practitioner - Physician Assistant | 6608264569 | Reassigns benefits to 1 organization |
| I20250227001136 | VA | Practitioner - Physician Assistant | 6608264569 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 3
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.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 Sparks Ave
Jamestown, KY 42629-2449
Phone (800) 226-8874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1366068256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S OCEAN DR STE 209",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192915",
"telephone_number": "800-226-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 W RUSSELL ST",
"city": "ELKHORN CITY",
"state": "KY",
"postal_code": "415229032",
"telephone_number": "800-226-8874",
"fax_number": "877-366-4776"
}
],
"practiceLocations": [
{
"address_1": "202 Painter St",
"address_purpose": "LOCATION",
"city": "Galax",
"state": "VA",
"postal_code": "243333830",
"country_code": "US",
"telephone_number": "800-226-8874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Sparks Ave",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "KY",
"postal_code": "426292449",
"country_code": "US",
"telephone_number": "800-226-8874",
"fax_number": "877-366-4776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Western Avenue",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421045822",
"country_code": "US",
"telephone_number": "800-226-8874",
"fax_number": "877-366-4776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "599 Rogersville Rd",
"address_purpose": "LOCATION",
"city": "Radcliff",
"state": "KY",
"postal_code": "401609321",
"country_code": "US",
"telephone_number": "800-226-8874",
"fax_number": "877-366-4776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "116 S Commonwealth Ave",
"address_purpose": "LOCATION",
"city": "Corbin",
"state": "KY",
"postal_code": "407016408",
"country_code": "US",
"telephone_number": "800-226-8874",
"fax_number": "877-366-4776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 S 4th St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402033206",
"country_code": "US",
"telephone_number": "800-226-8874",
"fax_number": "877-366-4776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 5th Ave",
"address_purpose": "LOCATION",
"city": "Calvert City",
"state": "KY",
"postal_code": "420298233",
"country_code": "US",
"telephone_number": "800-226-8874",
"fax_number": "877-366-4776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Sparks Ave",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "KY",
"postal_code": "426292449",
"country_code": "US",
"telephone_number": "800-226-8874",
"fax_number": "877-366-4776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 S Ocean Dr Ste 209",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330192915",
"country_code": "US",
"telephone_number": "800-226-8874",
"fax_number": "877-366-4776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "REBEKAH",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-17",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110009460",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2883",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115144",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY STATE LICENSE",
"identifier": "PA2883",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBEKAH",
"last_name": "THOMPSON",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elkhorn City, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.