Rebecca Ann Carson, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5013743 Issued in NC

Practice address

1125 Hatches Pond LN Ste 101
Morrisville, NC 27560-6294

Phone

(919) 467-7425

NPI assigned

Jun 15, 2011

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wake Med Children's PM Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Morrisville, NC
  • NPI 1932679446
  NPD
• The Pediatric Express PA

  • Pediatrics Physician
  • Morrisville, NC
  • NPI 1093915662
  NPD (past)
• Nationwide Children's Hospital

  • Dental Clinic/Center
  • Columbus, OH
  • NPI 1407013964
  NPD (past)
• PM Pediatrics BH II, P.C.

  • Child & Adolescent Psychiatry Physician
  • Wayne, PA
  • NPI 1861146821
  NPD (past)
• PM Pediatrics of Florida

  • Urgent Care Clinic/Center
  • Coral Springs, FL
  • NPI 1174125561
  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1528353851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 HATCHES POND LN STE 101",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606294",
            "telephone_number": "919-467-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HATCHES POND LN STE 101",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606294",
            "telephone_number": "919-467-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021679",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3006950",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5013743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71001174030",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201032890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Focus, Inc.
• Carenow Pediatrics PLLC
• Carolina Gero-Psych Management, LLC (Welcare Counseling Services, LLC)
• Carolina Primary Care and Women's Health, PA
• Erica Bossert Carr
• Erik Avis Carvalho, PT
• Cary Orthopaedic and Sports Medicine Specialists, P.a.
• Cary Orthopaedic and Sports Medicine Specialists, P.a.
• Cascade Medical Supply, Inc.
• Jeffrey Stuart Casebier, D.M.D.

• Pediatric Nurse Practitioner in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.