Individual provider Active NPI

Rebecca Lillian Jones, NP-C

  • Family Nurse Practitioner
  • Henderson, TN
National Provider Identifier
1366984239
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21678 Issued in TN
Practice address
1132 Industrial Dr
Henderson, TN 38340-1310
Phone
(731) 983-3175
NPI assigned
Nov 9, 2016
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 21678 TN Primary

Addresses

Primary practice location

1132 Industrial Dr
Henderson, TN 38340-1310

Mailing address

1525 Parker Loop
Henderson, TN 38340-3818
Phone (615) 390-5782

Other practice location 1

17 1st St E
Stanton, TN 38069-4426
Phone (731) 548-2232

Other practice location 2

627 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 600-1063

Other practice location 3

445 Nuckolls Rd
Bolivar, TN 38008-1539
Phone (731) 658-2902

Other practice location 4

629 Nuckolls Rd
Bolivar, TN 38008-1599
Phone (731) 600-1063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170222002016 TN Practitioner - Nurse Practitioner 3678857471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

627 Nuckolls Rd
Bolivar, TN 38008-1599
Phone (731) 658-3388

629 Nuckolls Rd
Bolivar, TN 38008-1599
Phone (731) 658-3388

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hardeman County Community Health Center CurrentSince Dec 21, 2016 Accepting new patients
Hardeman County Community Health Center CurrentSince Dec 21, 2016 Accepting new patients

Locations

629 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 658-3388

1132 Industrial Dr
Henderson, TN 38340
Phone (731) 983-3175

Interoperability endpoints

  • Direct secure messaging: rebecca.jones.1@27086.direct.athenahealth.com
  • Direct secure messaging: rebecca.jones.p1@direct.hcchc.nextgenshare.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.

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1366984239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PARKER LOOP",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383403818",
            "telephone_number": "615-390-5782",
            "fax_number": "731-983-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 INDUSTRIAL DR",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401310",
            "telephone_number": "731-983-3175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 1st St E",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "TN",
            "postal_code": "380694426",
            "country_code": "US",
            "telephone_number": "731-548-2232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "627 Nuckolls Rd",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "38008",
            "country_code": "US",
            "telephone_number": "731-600-1063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Nuckolls Rd",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "380081539",
            "country_code": "US",
            "telephone_number": "731-658-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 Nuckolls Rd",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "380081599",
            "country_code": "US",
            "telephone_number": "731-600-1063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "REBECCA",
        "middle_name": "LILLIAN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TN

Sources for this page

Verify at the official NPI Registry.