Rebecca R Powers, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD34154 Issued in TN

Practice address

117 E F St
Elizabethton, TN 37643-3253

Phone

(423) 547-9355

Fax

(423) 702-4419

NPI assigned

Sep 30, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Johnson City Emergency Physicians, PC

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1376557348
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1497742969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E F ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433253",
            "telephone_number": "423-547-9355",
            "fax_number": "423-702-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E F ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433253",
            "telephone_number": "423-547-9355",
            "fax_number": "423-702-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "REBECCA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD34154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I370693",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526375",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Lynn Pierce
• Emma Elizabeth Pillion, COTA/L
• Hannah Beatrice Wilson Pinter, DMD
• Adrienne J Poag, R.D.
• Ashton Keen Powers
• Premier Respiratory Equipment, Inc
• Zachary Pumphrey, OD
• Tammy Lee Putman, RN
• Caylin Jessica Quillin
• Tammy Leigh Radford, RN

• Pediatrics Physician in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.