Rebecca Rae Kojak, DNP, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

244556 Issued in TN

Practice address

103 Eighteen Grand PL
Cookeville, TN 38506-4933

Phone

(651) 503-7311

NPI assigned

Apr 25, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1447048079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 EIGHTEEN GRAND PL",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064933",
            "telephone_number": "651-503-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 EIGHTEEN GRAND PL",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064933",
            "telephone_number": "651-503-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOJAK",
        "first_name": "REBECCA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "DNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "244556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Ashley Knowles, M.A.
• Gowthami Kobbari, MD
• Abigail Lyn Koch, RBT
• Corey T Kocisko, CRNA
• Supriya Kohli, M.D.
• Hima B Kona, MD
• Anne Kosgei
• Trina Nadia Kreil, D.C.
• Mark D Kriskovich, M.D.
• Kroger Limited Partnership I (Kroger Pharmacy)

• General Practice Registered Nurse in Cookeville, TN
• Providers in Cookeville, TN by specialty
• General Practice Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.