Individual provider Active NPI

Rebecca Ann Alexander, MSN, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1497382162
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27021 Issued in TN
Practice address
378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone
(423) 282-0751
NPI assigned
Mar 24, 2020
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 27021 TN Primary

Addresses

Primary practice location

378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

132 Old Gray Station Rd
Gray, TN 37615-3434
Phone (423) 467-8001

Other practice location 2

1497 W Elk Ave Ste 11
Elizabethton, TN 37643-2896
Phone (423) 542-8929

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ralexander150191@balladhealth.medalliesdirect.net Direct Wellmont Medical Associates Inc

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
I20200402001555 TN Practitioner - Nurse Practitioner 0749619344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
27021TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 2022 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Apr 1, 2022 Accepting new patients
Medical Care PLLC CurrentSince Aug 1, 2022 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 2022 Accepting new patients

Locations

1497 W Elk Ave
Ste 11
Elizabethton, TN 37643
Phone (423) 542-7480

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

132 Old Gray Station Rd
Johnson City, TN 37615
Phone (423) 467-8001

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Interoperability endpoints

  • Direct secure messaging: ralexander150191@balladhealth.medalliesdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1497382162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 MARKETPLACE BLVD STE 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042361",
            "telephone_number": "423-282-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Old Gray Station Rd",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "TN",
            "postal_code": "376153434",
            "country_code": "US",
            "telephone_number": "423-467-8001",
            "fax_number": "423-467-8003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 W Elk Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432896",
            "country_code": "US",
            "telephone_number": "423-542-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ralexander150191@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Wellmont Medical Associates Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "378 Marketplace Blvd Ste 5",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376042361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.