Rebecca Elon Everett Espey, N.P.
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Newton, MS
NPI 1376723148 · NPPES record last updated Nov 9, 2007
Key facts
- NPI
- 1376723148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R850861 (MS)
- Practice address
- 701 Northside Drive
Newton, MS 39345-0470 - Phone
- (601) 683-4300
- Fax
- (601) 683-4303
- NPI assigned
- Nov 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190319000886 | MS | Practitioner - Nurse Practitioner | 7517207137 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R850861 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region Ten Commission State of Ms | Current |
Accepting new patients | |
| Region Ten State of Ms | Past |
Accepting new patients |
Locations
1415 College Dr
Meridian, MS 39307
Phone (601) 483-4821
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R850861 | MS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R850861 | MS | Yes |
Addresses
Primary practice location
701 Northside Drive
Newton, MS 39345-0470
Mailing address
700 Northside Drive
P.O. Box 470
Newton, MS 39345-0470
Phone (601) 683-4300
Other names
- Mrs. Elon Everett Espey
Other providers in Newton, MS
- East Central Planning & Development District
- East Central Planning and Development District
- East Mississippi Medical Clinic
- East Mississippi Medical Clinic, PLLC
- East Mississippi State Hospital
- Leslie Kevin Ethridge
- Fast Pace Mississippi, PLLC
- Footprints Adult Day Services
- Brelan Mikal Gardner
- Wendy D Gressett
All providers in Newton, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.