Individual provider Active NPI

Rebecca Sue Phillips, FNP

  • Family Nurse Practitioner
  • Murphy, NC
National Provider Identifier
1366778144
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006742 Issued in NC
Practice address
381 Hill St
Murphy, NC 28906-3510
Phone
(828) 360-3600
Fax
(828) 360-3602
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A03265ANP AR
Family Nurse Practitioner 363LF0000X 5006742 NC Primary
Family Nurse Practitioner 363LF0000X APN0000014292 TN

Addresses

Primary practice location

381 Hill St
Murphy, NC 28906-3510

Mailing address

381 Hill St
Murphy, NC 28906-3510
Phone (828) 360-3600

Other practice location 1

381 Hill St
Murphy, NC 28906-3510
Phone (828) 360-3600

Other identifiers 1

IdentifierTypeStateIssuer
1366778144MedicaidNC

Other names 1

  • Rebecca Sue Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140511000000 NC Practitioner - Nurse Practitioner 8527291822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

381 Hill St
Murphy, NC 28906-3510
Phone (828) 360-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A03265ANPARMDFamily Nurse Practitioner
5006742NCMDFamily Nurse Practitioner
APN0000014292TNMDFamily Nurse Practitioner

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1366778144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 HILL ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289063510",
            "telephone_number": "828-360-3600",
            "fax_number": "828-360-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 HILL ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289063510",
            "telephone_number": "828-360-3600",
            "fax_number": "828-360-3602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "381 Hill St",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "NC",
            "postal_code": "289063510",
            "country_code": "US",
            "telephone_number": "828-360-3600",
            "fax_number": "828-360-3602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03265ANP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006742",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366778144",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GRAY",
            "middle_name": "SUE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.