Rebecca Edwards, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3017085 Issued in KY

Practice address

3239 Claypool Boyce Rd
Alvaton, KY 42122-9646

Phone

(270) 392-4625

NPI assigned

Aug 19, 2022

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Lock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1396463840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 CLAYPOOL BOYCE RD",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421229646",
            "telephone_number": "270-392-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 CLAYPOOL BOYCE RD",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421229646",
            "telephone_number": "270-392-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3239 Claypool Boyce Rd",
            "address_purpose": "LOCATION",
            "city": "Alvaton",
            "state": "KY",
            "postal_code": "421229646",
            "country_code": "US",
            "telephone_number": "270-392-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LOCK",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Child and Family Service Coordination, LLC
• Katharine L Collins, LPCC
• Cumberland Family Medical Center, Inc. (Alvaton Elementary Healthy Kids Clinic)
• Brianah L Doeden, APRN
• Kathleen Baum Donley, DDS
• Ann Embry, RD, LD
• Brian Gatlin, LMFT
• Robert Allan Goodwin, M.D.
• Lindsey Ann Green, LPCC
• Tonya L Gregory, LMFT

• Family Nurse Practitioner in Alvaton, KY
• Providers in Alvaton, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.