Rebecca Youngblood Kershner, WHNP-BC
Individual provider Active NPI Women's Health Nurse Practitioner · Augusta, GA
NPI 1598068637 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1598068637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- RN207255 (GA)
- Practice address
- 950 Laney Walker Blvd
Augusta, GA 30901-2960 - Phone
- (706) 721-5931
- NPI assigned
- Dec 13, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207255 | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glascock County Board of Health | Past | Accepting new patients | |
| Taliaferro County Board of Health | Past | Accepting new patients | |
| Columbia County Board of Health | Past |
Accepting new patients | |
| Warren County Board of Health | Past |
Accepting new patients | |
| Wilkes County Board of Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN207255 | GA | |
| Women's Health Nurse Practitioner | 363LW0102X | RN207255 | GA | Yes |
Addresses
Primary practice location
950 Laney Walker Blvd
Augusta, GA 30901-2960
Mailing address
1916 N Leg Rd BLDG a
Augusta, GA 30909-4402
Phone (706) 667-4285
Other providers in Augusta, GA
- Craig Todd Kerins
- Rebecca Kerko
- Jean F Kernaghan
- Catherine Elizabeth Kerr
- Angela McGaha Kersey
- Amany Keruakous
- Prasand Kesavan
- Jayanth H Keshavamurthy
- Justin Ketchem
- Emily Ketchum
All providers in Augusta, GA · Women's Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.