Individual provider Active NPI

Rebekah Lynn Kube

  • Family Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1497425102
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015019 Issued in NC
Practice address
1020 Medical Park Ave
New Bern, NC 28562-5248
Phone
(252) 514-6685
Fax
(252) 514-2745
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 5015019 NC Primary

Addresses

Primary practice location

1020 Medical Park Ave
New Bern, NC 28562-5248

Mailing address

PO Box 12248
New Bern, NC 28561-2248
Phone (252) 514-6685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220214001546 NC Practitioner - Nurse Practitioner 0840683934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5015019NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Water Medical, PA CurrentSince Oct 4, 2022 Accepting new patients
Kube, LLC Current Accepting new patients
Open Water Medical, PA CurrentSince Oct 4, 2022 Accepting new patients
Coastal Carolina Health Care PA Past Accepting new patients

Locations

1620 Live Oak St
Ste C
Beaufort, NC 28516
Phone (252) 728-5737

1620C Live Oak St
Beaufort, NC 28516
Phone (252) 728-5737

1209 E Ash St
Goldsboro, NC 27530
Phone (919) 734-9455

Interoperability endpoints

  • Direct secure messaging: rkube27242@coastalcarolinahealthcenter.gardenplot.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1497425102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612248",
            "telephone_number": "252-514-6685",
            "fax_number": "252-514-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MEDICAL PARK AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625248",
            "telephone_number": "252-514-6685",
            "fax_number": "252-514-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBE",
        "first_name": "REBEKAH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.