Individual provider Active NPI

Rebecca Ragan Davies, APRN

  • Adult Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1548347198
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3005020 Issued in KY
Practice address
177 Burt Rd
Lexington, KY 40503-2457
Phone
(859) 276-1511
Fax
(859) 276-3373
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3005020 KY Primary

Addresses

Primary practice location

177 Burt Rd
Lexington, KY 40503-2457

Mailing address

177 Burt Rd
Lexington, KY 40503-2457
Phone (859) 276-1511

Other names 1

  • Rebecca Ragan Simmons & Brooks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20081115000153 KY Practitioner - Nurse Practitioner 2062572415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Dermatology of Kentucky LLCGroup PAC ID 5496166308, 14 clinicians

Practice addresses (Care Compare)

120 Meridian Way
Suite 3
Richmond, KY 40475-2881
Phone (859) 276-1511

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3005020KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dermatology of Kentucky LLC Adult Health CurrentSince Jan 1, 2021 Accepting new patients
Avante Garde Health Centers, LLC Past Accepting new patients
ER & Associates Past Accepting new patients

Locations

169 Burt Rd
Ste A
Lexington, KY 40503

169 Burt Rd
Lexington, KY 40503
Phone (859) 278-9242

177 Burt Rd
Lexington, KY 40503
Phone (859) 276-1511

161 Lexington Green Cir
Ste 100
Lexington, KY 40503
Phone (859) 276-1511

1750 Highway 192 W
Ste 8
London, KY 40741
Phone (606) 878-5590

1098 S Mayo Trl
Pikeville, KY 41501
Phone (606) 432-5532

120 Meridian Way
Ste 3
Richmond, KY 40475
Phone (859) 276-1511

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1548347198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032457",
            "telephone_number": "859-276-1511",
            "fax_number": "859-276-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032457",
            "telephone_number": "859-276-1511",
            "fax_number": "859-276-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "REBECCA",
        "middle_name": "RAGAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3005020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SIMMONS & BROOKS",
            "middle_name": "RAGAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.