Active NPI
Rebecca Hackett
- Certified Registered Nurse Anesthetist
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3008994
- Practice address
- 20 Medical Village Dr Ste 258
Edgewood, KY 41017-5411 - Phone
- (859) 301-2211
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3008994 | KY | Primary |
Addresses
Primary practice location
20 Medical Village Dr Ste 258
Edgewood, KY 41017-5411
Mailing address
3609 Ranbir Dr
Durham, NC 27713-1792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008994 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trihealth G LLC | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
425 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-3575
2845 Chancellor Dr
Ste 100
Crestview Hills, KY 41017
340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211
20 Medical Village Dr
Ste 258
Edgewood, KY 41017
Phone (606) 341-2666
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
580 S Loop Rd
Ste 100
Edgewood, KY 41017
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1255768107
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1336242726
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1336478163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1487061180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 RANBIR DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR STE 258",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175411",
"telephone_number": "859-301-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3008994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.